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

Samantha L Moog, LCSW

Individual provider Clinical Social Worker · NPI 1851803696

Samantha L Moog, LCSW is a Clinical Social Worker in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2017.

Licensed in
MO
In the registry since
2017
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

807 Fairview Ave
Columbia, MO 65201-4541
Phone: (484) 888-5359
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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 2020006111 (MO)

Record details

NPI number1851803696
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 2, 2017
Last updated in NPPESAugust 4, 2022
Certification dateAugust 4, 2022

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