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

Mr. Timothy Robert Moore, LCSW

Individual provider Clinical Social Worker · NPI 1508121302

Mr. Timothy Robert Moore, LCSW is a Clinical Social Worker in Palm Springs, California. Qualified in 1991, 35 years ago. Practices with Eisenhower Medical Center, a 459-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
35
Licensed in
CA
In the registry since
2012
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

490 S Farrell Dr Ste 202
Palm Springs, CA 92262-7992
Phone: (760) 325-4088
Fax: (760) 779-9403
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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 17927 (CA)

Record details

NPI number1508121302
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 8, 2012
Last updated in NPPESJune 21, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Eisenhower Medical Center — 459 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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