Rachel Moore, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

099682-01 Issued in NY

Practice address

926 State Route 67
Ballston Spa, NY 12020-3603

Phone

(518) 321-0735

NPI assigned

Jul 19, 2021

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

Other names 1

• Rachel Moore Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Performance Sanctuary Counseling LCSW, PLLC

  • Clinical Social Worker
  • Ballston Spa, NY
  • NPI 1548139884
  NPD Authorized official
• Ecs Psychological Services PC

  • Psychologist
  • Saratoga Springs, NY
  • NPI 1265511224

  Clinical

  NPD (past)
• Ecs Wellness Psychology

  • Mental Health Counselor
  • Saratoga Springs, NY
  • NPI 1386285336
  NPD (past)

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1710550884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 STATE ROUTE 67",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203603",
            "telephone_number": "518-321-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 STATE ROUTE 67",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203603",
            "telephone_number": "518-321-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "RACHEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "099682-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "MOORE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jana Miller, M.S.
• Elizabeth Mockry, LCSW
• Amy Molloy
• Joseph Montemorano, RPH
• Maria Moore
• Kathleen Fraser Moran, LCSW-R
• Beth F Mormando, MA CCCSLP
• Kimberly Ann Moryl, CCC-SLP
• John Joseph Mullaney, LCSW
• Catherine Margaret Murphy-Blaisdell, MA, CCC-SLP

• Clinical Social Worker in Ballston Spa, NY
• Providers in Ballston Spa, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.