P Praxis·MD
● Active Type 1 · Individual

Blaine Moore, LCSW

Social Worker·Mansfield, TX· NPI 1346388659 · Enumerated 2007 · 19 years on NPI
Moore is 1 of 68 social worker providers in Mansfield and 1 of 12911 in Texas.
NPI age
19 years
Enumerated 2007-02-01
Primary specialty
Social Worker
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-10-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 12911 active social worker providers in Texas.

NPI age
19 years
↑ 12 yr above median (7 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-02Enumerated in NPPES
2007 2026

Where they practice

Practice location
601 S Main St
Mansfield, TX 760633112
📞 8179142267
Mailing address
Po Box 2114
Mansfield, TX 760630020
📞 8179142267fax 8172252144

Additional practice locations

1 secondary location on file with NPPES.

Location 2
3840 Hulen St
Fort Worth, TX 761077277
📞 8173353022

Specialties

  • Social Worker Primary
    A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be...
    TX license #50464 taxonomy 1041C0700X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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