Jaclyn Mary Moore, LMSW, LSW
NPI 1306533484ActiveIndividual· Social Worker· Saint Peters, MO
Social Worker (LMSW, LSW) in Saint Peters, Missouri, licensed in MO and IL, with an NPI issued in April 2023.
Overview
| NPI | 1306533484 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMSW, LSW |
| Sole proprietor | No |
| NPI issued | Apr 19, 2023 |
| Last updated in NPPES | Apr 19, 2023 |
| Certified by provider | Apr 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 2023013705 | MO |
| Social Worker | 104100000X | 150.109222 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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