Individual provider · Type 1 NPI

Kristen Nicole Moore, LMSW

Clinical Social Worker · Highland, MI

NPI number 1619345238 Active

Practice location

212 W Highland Rd Ste 102
Highland, MI 48357-4504

Mailing address

212 W Highland Rd, Ste 102 #1004
Highland, MI 48357-1510

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801098511 (MI)

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 1619345238

Kristen Nicole Moore, LMSW's National Provider Identifier is 1619345238, issued on Sep 14, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Highland, MI. The record was last updated on Apr 3, 2026.