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

Miss. Cassandre Lynn Moore, LCSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1154667061

Miss. Cassandre Lynn Moore, LCSW is a Clinical Social Worker in Boise, Idaho. Qualified in 2011, 15 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
15
Licensed in
ID
In the registry since
2012
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

671 E Riverpark Ln Ste 100
Boise, ID 83706-4000
Phone: (208) 861-7448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LCSW-36307 (ID)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCSW-36307 (ID)

Record details

NPI number1154667061
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 20, 2012
Last updated in NPPESSeptember 21, 2020
Certification dateSeptember 21, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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