Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tammy Lynn Moore, LISW-S

Individual provider Clinical Social Worker · NPI 1659665750

Tammy Lynn Moore, LISW-S is a Clinical Social Worker in Bexley, Ohio. Qualified in 2005, 21 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
21
Licensed in
OH
In the registry since
2011
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Practice location Address checks out

2700 E Main St Ste 102
Bexley, OH 43209-2536
Phone: (614) 398-1180
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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 I0700225-S (OH)

Record details

NPI number1659665750
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S
Sole proprietorYes
NPI enumeratedJune 6, 2011
Last updated in NPPESJanuary 5, 2012

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

Other providers in Bexley