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NPI Code Detail

MEDICARE: SARAH MOORE LCSW

MEDICARE:   SARAH  MOORE  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor7089TN

General Provider Information

NPI Number : 1417814484
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH MOORE LCSW
Provider Business Mailing Address
First Line : 240 W TYRONE RD
Second Line :
City : OAK RIDGE
State : TN
Zip : 37830-6517
Country : US
Telephone Number : 865-482-1076
Fax Number :
Provider Business Practice Location Address
First Line : 830 MAIN ST STE 2
Second Line :
City : WARTBURG
State : TN
Zip : 37887-4144
Country : US
Telephone Number : 423-346-6221
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2026
Last Update Date : 02/04/2026

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Directions to “ SARAH MOORE LCSW” Practice Location

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