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Deactivated NPI 1093368565 Deactivated / Inactive NPI Female Practitioner

Amber Moore , LSW

Social Worker • Lebanon, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Amber Moore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 23, 2019
NPI Deactivation Date March 12, 2020
Total Practice Duration ~1 Years of Practice (2019 – 2020)

Professional Overview & Biography Verified Profile Summary

Amber Moore, LSW was a registered Social Worker practicing in Lebanon, OH. Throughout an active medical career spanning 1 years, Amber Moore provided care at the practice location at 204 COOK RD until profile deactivation on 2020-03-12.

Practice Location & Contact Primary Location

Practice Address

204 Cook Rd

Lebanon, OH 450369600

Telephone 5137517747
Associated Practice Facility / Clinic
🏢 Talbert House Facility NPI 1306897046

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Lebanon, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.5 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
49 Specialists

Practicing in Lebanon, OH (11526 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-16
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License OH S.2512643

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kenneth Toney

Case Manager/Care Coordinator

NPI 1003488149
Katelyn Larkins

Case Manager/Care Coordinator

NPI 1003607979
Pretrice Martin

Case Manager/Care Coordinator

NPI 1003771171
Fadumo Hajieda

Case Manager/Care Coordinator

NPI 1013682368
Gregory Swan

Case Manager/Care Coordinator

NPI 1013727312
Carrie Fieger

Case Manager/Care Coordinator

NPI 1013730480

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location December 16, 2025

Registered at 204 COOK RD, LEBANON, OH 450369600 (Tel: 5137517747)

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Updated Business Mailing Address December 16, 2025

Registered at 2600 VICTORY PKWY, CINCINNATI, OH 452061395 (Tel: 5137517747)

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Provider Name / Credentials Updated December 16, 2025

Recorded as AMBER MOORE, LSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2025

Social Worker (License #S.2512643 in OH)

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NPI Profile Reactivated April 09, 2020

Record officially reactivated for active practice on April 09, 2020

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NPI Profile Deactivated March 12, 2020

Record deactivated on March 12, 2020

NPI Profile Active July 23, 2019

NPI status registered as active in NPPES database

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Updated Practice Location July 23, 2019

Registered at 6300 N MAIN ST, DAYTON, OH 454153154 (Tel: 9372751500)

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Updated Business Mailing Address July 23, 2019

Registered at 6300 N MAIN ST, DAYTON, OH 454153154 (Tel: 9372751500)

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Provider Name / Credentials Updated July 23, 2019

Recorded as AMBER MOORE

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2019

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration July 23, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093368565
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2019
Last Update: December 16, 2025
Deactivation Date: March 12, 2020
Sole Proprietor: Yes

Mailing Address

2600 Victory Pkwy

Cincinnati, OH 452061395

Phone: 5137517747

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.