Individual provider · Type 1 NPI

Kelly Michelle Moore, LCSW

Clinical Social Worker · Keesler Afb, MS

NPI number 1134619018 Active

Practice location

301 Fisher Street
Keesler Afb, MS 39534

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XM8385 (MS)
Social Worker 104100000XC8385 (MS)
Clinical Social Worker Primary 1041C0700XC8385 (MS)

Clinical Social Worker: 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 licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1134619018

Kelly Michelle Moore, LCSW's National Provider Identifier is 1134619018, issued on May 16, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Keesler Afb, MS. The record was last updated on Feb 17, 2023.