Individual provider Active NPI

Robert Seaborn Moore, LCSW

  • Clinical Social Worker
  • Freeport, ME
National Provider Identifier
1700669728
Registry record updated Nov 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC25263 Issued in ME
Practice address
491 US Route 1 Ste 23
Freeport, ME 04032-7022
Phone
(207) 200-1675
NPI assigned
Aug 15, 2023
Last updated
Nov 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC25263 ME Primary

Addresses

Primary practice location

491 US Route 1 Ste 23
Freeport, ME 04032-7022

Mailing address

491 US Route 1 Ste 23
Freeport, ME 04032-7022
Phone (207) 200-1675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20251022001060 ME Practitioner - Clinical Social Worker 7618465618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partnership for Trauma RecoveryGroup PAC ID 8426336850, 6 clinicians

Practice addresses (Care Compare)

491 US Route 1
Suite 23
Freeport, ME 04032-7022
Phone (207) 894-8104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC25263MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Partnership for Trauma Recovery Clinical CurrentSince Oct 14, 2025 Accepting new patients
Robert Cameron LCSW, LLC CurrentSince Oct 14, 2025 Accepting new patients

Locations

491 US Route 1
Ste 23
Freeport, ME 04032
Phone (207) 200-1631

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761955200000",
    "number": "1700669728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 US ROUTE 1 STE 23",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040327022",
            "telephone_number": "207-200-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 US ROUTE 1 STE 23",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040327022",
            "telephone_number": "207-200-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ROBERT",
        "middle_name": "SEABORN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-15",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC25263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, ME

Sources for this page

Verify at the official NPI Registry.