Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861186769 Individual Practitioner Female Practitioner

Mary J Moore , LMSW

Social Worker • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Mary Moore, LMSW is a registered healthcare professional specializing in Social Worker in Tyler, TX. Practice services are available at 428 CENTENNIAL PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

428 Centennial Pkwy

Tyler, TX 757037166

Telephone 9032665900
Associated Practice Facility / Clinic
🏢 Dallas Vamc Facility NPI 1548929540

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
24 Specialists

Practicing in Tyler, TX (3758 Statewide)

Telehealth Adoption Rate
8.3% 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: 2023-06-05
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License TX 25651

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

11 Associated Practitioners
Clarice Mcdaniels , MS, RD, LD

Dietitian, Registered

NPI 1013771492

Master of Science, Registered Dietitian, Licensed Dietitian

Alice Black , OPTHALMIC ASSISTANT

Technician/Technologist - Ophthalmic Assistant

NPI 1346066024

OPTHALMICASSISTANT

Hope Barham , APRN

Registered Nurse - Psychiatric/Mental Health

NPI 1356123327

Advanced Practice Registered Nurse

NPI 1447985767

Licensed Master Social Worker

Dr. Keith Wixtrom , MD

Family Medicine

NPI 1639193246

Doctor of Medicine (M.D.)

Dr. Sarah Samuel , DDS

Dentist - General Practice

NPI 1689863441

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 05, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2023

Registered at 428 CENTENNIAL PKWY, TYLER, TX 757037166 (Tel: 9032665900)

📍
Updated Business Mailing Address June 05, 2023

Registered at 428 CENTENNIAL PKWY, TYLER, TX 757037166 (Tel: 9032665900)

👤
Provider Name / Credentials Updated June 05, 2023

Recorded as MARY MOORE, LMSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2023

Social Worker (License #25651 in TX)

🟢
Initial NPI Registration & Enumeration June 05, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1861186769
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2023
Last Update: June 05, 2023
Sole Proprietor: Yes

Mailing Address

428 Centennial Pkwy

Tyler, TX 757037166

Phone: 9032665900

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.