Individual provider · Type 1 NPI

Krista Moore, LICSW

Clinical Social Worker · Owatonna, MN

NPI number 1467322768 Active

Practice location

2575 Harvest Ln
Owatonna, MN 55060-4305

Call (507) 446-0431 Map

Fax (507) 446-8014

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X21441 (MN)

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 1467322768

Krista Moore, LICSW's National Provider Identifier is 1467322768, issued on Nov 11, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Owatonna, MN. The record was last updated on Nov 11, 2025.