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

Sandi Moore, LCSW

Individual provider Clinical Social Worker · NPI 1295910685

Sandi Moore, LCSW is a Clinical Social Worker in Idabel, Oklahoma. Qualified in 2005, 21 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
21
Licensed in
OK
In the registry since
2008
Specialties on file
3
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

609 E Washington St
Idabel, OK 74745-3319
Phone: (580) 217-7962
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 4145 (OK)
Social Worker Taxonomy 104100000X · Licence 3530 (OK)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1295910685
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 3, 2008
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026
Mailing address511 Se Madison St, Idabel, OK 74745-4926

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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