Jaclyn Gene Moore, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

259191 Issued in KY

Practice address

80 Codell Dr Ste 130
Lexington, KY 40509-1177

Phone

(859) 309-2877

NPI assigned

Mar 4, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1104772045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 QUEENSWAY DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405021007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 CODELL DR STE 130",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091177",
            "telephone_number": "859-309-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JACLYN",
        "middle_name": "GENE",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "259191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Nicole Moore, MD
• Evan Michael Moore, M.D.
• Glenn I Moore, MD
• Hannah Moore, LCSW
• Hayden Moore, APRN
• Jacob Aaron Moore, APRN
• James Byron Moore II, DO
• James C. Moore, LCSW
• James Daniel Moore, M.D.
• John Michael Moore, M.D.

• Clinical Social Worker in Lexington, KY
• Providers in Lexington, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.