Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marshall Moore, LMSW

Individual provider Social Worker · NPI 1982182259

Marshall Moore, LMSW is a Clinical Social Worker in Chelsea, Michigan. Qualified in 2016, 10 years ago. Practices with Iha Health Services Corporation, a 1,146-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2018
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

350 N Main St Ste 150
Chelsea, MI 48118
Phone: (734) 593-5251
Fax: (734) 593-5255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6801106508 (MI)

Record details

NPI number1982182259
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorYes
NPI enumeratedJuly 30, 2018
Last updated in NPPESJuly 26, 2024
Certification dateFebruary 17, 2020
Mailing address24 Frank Lloyd Wright Drive, Ste J2000, Ann Arbor, MI 48105

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Iha Health Services Corporation — 1146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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