Nydra Moore, LCSW
Clinical Social Worker · Grand Rapids, MI
Nydra Moore, LCSW is a clinical social worker with a practice address in Grand Rapids, Michigan, and NPI 1174259287, issued on Jul 29, 2022. Check the license (Michigan 6801120788, as entered in NPPES) with the Michigan board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Nydra Moore
- Credential
- LCSW
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- 6801120788 MI
Self-reported in NPPES; status is on the state search - Practice location
- 790 Fuller Ave NE, Grand Rapids, MI 49503
- Phone
- (616) 336-3909
- Enumerated
- Jul 29, 2022
- Record last updated
- Jun 26, 2026
- Fax
- (616) 336-8830
- Medicare enrollment
- Enrolled (PECOS I20251119001421); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 17,644 in Michigan → Look up another NPI →
Also registered at 790 Fuller Ave NE
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Andrew AmidonCase Manager/Care Coordinator1437804564
- Trechaun AndersonSocial Worker1649914367
- Stacey AndrewsCase Manager/Care Coordinator1497583546
Verify Nydra Moore in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Michigan board licenses this profession
Search for license 6801120788Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Nydra Moore among 17,644 clinical social worker records in Michigan
Nydra Moore, LCSW is one of 17,644 clinical social worker records with a practice address in Michigan. 14% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2022, is newer than 78% of them.
- NPI issued2022 · 78% of these records are older, 17% newer
- In a Medicare fileNo · 14% of these records are
- In the CMS Doctors and Clinicians fileYes · 20% of these records are
- Graduated2022 · median 2012 among the 3,587 with a school on file
- Record last updated2026 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1,604 clinical social worker records list a practice address in Grand Rapids
They are 1,604 of the 18,005 NPPES records with a practice address in Grand Rapids, and 17,644 clinical social worker records in Michigan. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 17,644 in Michigan → Every provider in Grand Rapids → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Jennifer Anible, LMSW, RPTGrand Rapids, MI 495031932178761
- Michelle Boudreaux, LMSWGrand Rapids, MI 495031841307006
- Richard Brouwer, CSWGrand Rapids, MI 495031225058993
- Jennifer Gard, LMSWGrand Rapids, MI 495031144319906
- Katie Green, MSWGrand Rapids, MI 495031649376187
- Judith Hahn, LMSW ACSWGrand Rapids, MI 495031942391800
- Kathryn Malone, LMSWGrand Rapids, MI 495031659457059
- Deborah Martin-Gill, M.S.W.Grand Rapids, MI 495031457395915
Common questions
What is Nydra Moore, LCSW's NPI number?
Nydra Moore, LCSW's National Provider Identifier (NPI) is 1174259287, issued on Jul 29, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Nydra Moore, LCSW located?
The NPPES record lists a practice address at 790 Fuller Ave NE, Grand Rapids, MI, 49503. Phone: (616) 336-3909. Providers update this record themselves, so call before visiting.
How can I verify Nydra Moore, LCSW's license?
NPPES lists Michigan license number 6801120788, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.