Individual provider Active NPI

Lucas E. Moore

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1477837607
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8309-123 Issued in WI
Practice address
1750 Wewatta St Unit 1826
Denver, CO 80202-6698
Phone
(608) 473-3575
NPI assigned
Oct 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X 8309-123 WI Primary

Addresses

Primary practice location

1750 Wewatta St Unit 1826
Denver, CO 80202-6698

Mailing address

1750 Wewatta St Unit 1826
Denver, CO 80202-6698
Phone (608) 473-3575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170214000355 WI Practitioner - Clinical Social Worker 9436432606 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Counseling Center, LLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

5930 Seminole Centre Ct
Ste C
Fitchburg, WI 53711
Phone (608) 630-8889

6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1477837607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 WEWATTA ST UNIT 1826",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802026698",
            "telephone_number": "608-473-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 WEWATTA ST UNIT 1826",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802026698",
            "telephone_number": "608-473-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LUCAS",
        "middle_name": "E.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-06",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8309-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.