Sandi Moore, LCSW

NPI #1295910685 in Idabel, Oklahoma

Provider Information

NPI Number: 1295910685
Entity Type: Individual
Name: Sandi Moore, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jan 3, 2008
Last Updated: Oct 8, 2025

Practice Location

Address: 609 E WASHINGTON ST
City: Idabel
State: Oklahoma
ZIP Code: 74745-3319
Phone: (580) 217-7962

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X	Primary
Social Worker	104100000X

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