Blaine Moore, LCSW - Clinical Social Worker in Mansfield, TX

Blaine Moore, LCSW is a Social Worker - Clinical based in Mansfield, Texas. Blaine Moore is licensed to practice in Texas (license number 50464) and his current practice location is 1751 Broad Park Cir S Ste 207, Mansfield, Texas. He can be reached at his office (for appointments etc.) via phone at (817) 914-2267.

NPI number for Blaine Moore is 1346388659 and his current mailing address is Po Box 2114, Mansfield, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346388659.

Contact Information

Blaine Moore, LCSW
1751 Broad Park Cir S Ste 207,
Mansfield, TX 76063-7827
(817) 914-2267
(817) 225-2144



Healthcare Provider's Profile

Full NameBlaine Moore
GenderMale
SpecialitySocial Worker - Clinical
Location1751 Broad Park Cir S Ste 207, Mansfield, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1346388659
  • Provider Enumeration Date: 02/01/2007
  • Last Update Date: 11/02/2022

Medical Identifiers

Medical identifiers for Blaine Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346388659NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 50464 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Blaine Moore is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Blaine Moore, LCSW
Po Box 2114,
Mansfield, TX 76063-0020

Ph: (817) 914-2267
Blaine Moore, LCSW
1751 Broad Park Cir S Ste 207,
Mansfield, TX 76063-7827

Ph: (817) 914-2267

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› Verified 3 days ago


Social Worker in Mansfield, TX

Mr. Michael Lee Weed, L.C,S.W,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1221 Brookfield Ln, Mansfield, TX 76063
Phone: 817-239-0823    
Tiffany C Mylett, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 751 E Debbie Ln Ste 105, Mansfield, TX 76063
Phone: 682-422-9140    Fax: 682-258-0441
Rassan Abdull Follis, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 201 E Debbie Ln, Mansfield, TX 76063
Phone: 817-914-3251    
Mrs. Sheri Marie Wolf, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 501 E Broad St, Mansfield, TX 76063
Phone: 817-690-4910    Fax: 817-477-1705
Mrs. Crystal J. Williamson, MS, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1716 Griffin Ln, Mansfield, TX 76063
Phone: 817-965-5886    Fax: 866-929-1927
Jamye Mcmillin,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 808 North St, Mansfield, TX 76063
Phone: 817-233-3265    
Caitlin Tesch, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Matlock Rd # 2, Mansfield, TX 76063
Phone: 817-500-5984    

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