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

Mr. Spencer Moore, LCSW

Individual provider Clinical Social Worker · NPI 1689350753

Mr. Spencer Moore, LCSW is a Clinical Social Worker in Henderson, Nevada. Qualified in 2019, 7 years ago. Practices with Changing Minds Psychiatry LLC, a 50-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
7
Licensed in
NV
In the registry since
2023
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

2960 W Horizon Ridge Pkwy
Henderson, NV 89052-4666
Phone: (702) 405-8088
Fax: (702) 405-6066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 13104-C (NV)

Record details

NPI number1689350753
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 23, 2023
Last updated in NPPESApril 4, 2026
Certification dateApril 4, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Changing Minds Psychiatry Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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