Individual provider · Type 1 NPI

Kimberly Knight Moore, LCSW

Clinical Social Worker · Jackson, MS

NPI number 1346310265 Active

Practice location

1500 East Woodrow Wilson Dr
Jackson, MS 39216

Fax (601) 368-4093

Mailing address

500 Springhill Xing
Brandon, MS 39047-5019

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC6610 (MS)
Social Worker 104100000XM6610 (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 1346310265

Kimberly Knight Moore, LCSW's National Provider Identifier is 1346310265, issued on Nov 8, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jackson, MS. The record was last updated on Dec 2, 2024.