Individual provider · Type 1 NPI
Kimberly Moustoukkis
Clinical Social Worker · Normal, IL
Practice location
321 Susan Dr Ste C
Normal, IL 61761-6285
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
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…
Another provider at this address
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About NPI 1306206008
Kimberly Moustoukkis's National Provider Identifier is 1306206008, issued on Feb 24, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Normal, IL. The record was last updated on Nov 14, 2025.