MARGARET MOORE (LCSW) – Clinical Social Worker, NPI 1104164805

MARGARET MOORE (LCSW) is a healthcare provider. based in Oregon city, Oregon. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. L4534 (OR). The NPI Number for MARGARET MOORE (LCSW) is 1104164805

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
MARGARET MOORE (LCSW)
NPI
1104164805
Phone
(503) 742-5300
Address
2051 KAEN RD
Enumeration Date
30 January 2013
Last Update Date
4 February 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5036558471
Graduation Year
1991 (35 years ago)
PAC ID
5193970515
Group Practice PAC ID
9537065560
Professional Enrollment ID
I20130308000308
Address ID
OR970556412SA39740STXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,405 CLINICAL SOCIAL WORKER in OR

Provider Addresses for MARGARET MOORE (LCSW)

  • 2051 KAEN RD

    SUITE 367

    OREGON CITY, OR 970454035

    Phone: (503) 742-5300

    Fax: (503) 742-5979

    Type: Mailing

  • 1002 LIBRARY CT

    OREGON CITY, OR 970454066

    Phone: (503) 655-8264

    Fax: (503) 655-8428

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-03-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130308000308IClinical Social WorkerORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97045)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537065560View full group profile
NameSpecialtyState
Family PracticeOR
Clinical Social WorkerOR
Clinical Social WorkerOR
Clinical Social WorkerOR
Nurse PractitionerOR
-OR
Clinical Social WorkerOR
Clinical Social WorkerOR
-OR
Clinical Social WorkerOR

Reviews

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Frequently asked questions

How is MARGARET MOORE (LCSW) identified in CMS data?
CMS-hosted NPPES data lists MARGARET MOORE (LCSW) with NPI 1104164805.
Does the file indicate MARGARET MOORE (LCSW) is practicing under active NPI?
Directory data currently reports MARGARET MOORE (LCSW) as active.
What is MARGARET MOORE (LCSW)'s primary classification?
Clinical Social Worker is the headline specialty for MARGARET MOORE (LCSW) here. Clinical services aligned with this taxonomy classification.
What address line appears for MARGARET MOORE (LCSW)?
MARGARET MOORE (LCSW)'s geographic hint is Oregon City, Oregon in our summary view.
Is the information about MARGARET MOORE (LCSW) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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