Active NPI
Leondra Alecia Moore, LCSW
- Clinical Social Worker
- Oklahoma City, OK
National Provider Identifier
1992004626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1006 NE 17TH St
Oklahoma City, OK 73111-1002 - Phone
- (405) 419-9800
- Fax
- (405) 521-8496
- NPI assigned
- Mar 21, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | OK | Primary |
Addresses
Primary practice location
1006 NE 17TH St
Oklahoma City, OK 73111-1002
Mailing address
PO Box 30589
Midwest City, OK 73140-3589
Phone (405) 769-3301
Other practice location 1
632 Thorn Briar Rd
Edmond, OK 73034-4276
Phone (405) 406-8771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110628000557 | OK | Practitioner - Clinical Social Worker | 4284812967 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Southern Illinois University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Centers, Inc.
Practice addresses (Care Compare)
1006 NE 17TH St
Oklahoma City, OK 73111-1002
Phone (405) 769-3301
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers Inc. | Current | Accepting new patients | |
| Community Health Centers, Inc. | Current | Accepting new patients |
Locations
5301 S Dimple Dr
Oklahoma City, OK 73135
Phone (405) 674-0028
12716 NE 36th St
Spencer, OK 73084
Phone (405) 466-2535
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1265415806
OK
-
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1679348908
-
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1376725812
-
- Federally Qualified Health Center (FQHC)
- Langston, OK
- NPI 1437133790
-
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1023091519
-
- Community/Retail Pharmacy
- Oklahoma City, OK
- NPI 1588648703
-
- Federally Qualified Health Center (FQHC)
- Carney, OK
- NPI 1699030528
-
- Federally Qualified Health Center (FQHC)
- Shawnee, OK
- NPI 1851727754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1992004626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30589",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731403589",
"telephone_number": "405-769-3301",
"fax_number": "405-769-9685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 NE 17TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731111002",
"telephone_number": "405-419-9800",
"fax_number": "405-521-8496"
}
],
"practiceLocations": [
{
"address_1": "632 Thorn Briar Rd",
"address_purpose": "LOCATION",
"city": "Edmond",
"state": "OK",
"postal_code": "730344276",
"country_code": "US",
"telephone_number": "405-406-8771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "LEONDRA",
"middle_name": "ALECIA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-21",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.