Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMBER MOORE, LSW
Deactivated Sole ProprietorAMBER MOORE, LSW is a Social Worker healthcare provider located in LEBANON, Ohio. NPI 1093368565 is deactivated in the NPPES registry. Verify at CMS.
Social Worker · LEBANON, OH
This NPI has been deactivated.
The record was deactivated on March 12, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1093368565
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 23, 2019 (0.63661202185792 yrs)
- Last Updated
- Dec 16, 2025
- Deactivated
- Mar 12, 2020
- License
-
S.2512643 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
204 COOK RDLEBANON, OH, 450369600Browse OH providers · Browse ZIP 45036
- Phone
- 5137517747
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in LEBANON, OH
| Name | Credential | NPI |
|---|---|---|
| ANN HARMON HARRISON | S-28989, LCDC III | 1437380722 |
| FELISHA EARLS | LSW | 1306164678 |
| MR. WAYNE TODD KINNEY | LSW,BSW, CDCA | 1881905446 |
| MISS ABBEY ENDICOTT | — | 1609147610 |
| MRS. KIMBERLY DAWN SELLERS | LISW-S | 1053721522 |
| TRACY MOORE FUNKE | LSW | 1346646098 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.