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Amber Moore , LSW

Social Worker β€’ Lebanon, OH

Active NPI 1093368565 Individual Practitioner Female Practitioner
Practice location in NPPES

204 Cook Rd
Lebanon, OH 450369600

Call 5137517747 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

204 Cook Rd

Lebanon, OH 450369600

Telephone 5137517747
Organization at the Same NPPES Address or Phone
Talbert House, Inc Facility NPI 1043440050

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lebanon and Ohio

50 active clinicians are listed under Social Worker with a practice address in Lebanon, OH (11,552 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lebanon

0% of these 50 clinicians have the CMS telehealth indicator.

0% of these 50 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-12-16
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES OH S.2512643

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Lauren Mente

Nurse Practitioner - Family

NPI 1093149460
Dr. Robert Sorscher , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1750349163

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location December 16, 2025

Registered at 204 COOK RD, LEBANON, OH 450369600 (Tel: 5137517747)

πŸ“
Updated Business Mailing Address December 16, 2025

Registered at 2600 VICTORY PKWY, CINCINNATI, OH 452061395 (Tel: 5137517747)

πŸ‘€
Provider Name / Credentials Updated December 16, 2025

Recorded as AMBER MOORE, LSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2025

Social Worker (license number reported to NPPES: OH S.2512643)

πŸ”„
NPI Profile Reactivated April 09, 2020

Record officially reactivated for active practice on April 09, 2020

⚠️
NPI Profile Deactivated March 12, 2020

NPPES lists this NPI as deactivated as of March 12, 2020; the reason is not published.

βœ…
NPI Profile Active July 23, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 23, 2019

Registered at 6300 N MAIN ST, DAYTON, OH 454153154 (Tel: 9372751500)

πŸ“
Business Mailing Address (Initial Record) July 23, 2019

Registered at 6300 N MAIN ST, DAYTON, OH 454153154 (Tel: 9372751500)

πŸ‘€
Provider Name / Credentials (Initial Record) July 23, 2019

Recorded as AMBER MOORE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2019

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration July 23, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1093368565
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2019
Last Update: December 16, 2025
Sole Proprietor: Yes

Mailing Address

2600 Victory Pkwy

Cincinnati, OH 452061395

Phone: 5137517747

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.