Individual provider · Type 1 NPI

Kelly C. Moore, LISW

Clinical Social Worker · Ames, IA

NPI number 1689021164 Active

Practice location

4923 Lincoln Way Ste 102
Ames, IA 50014-3616

Fax (515) 206-9039

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X008397 (IA)

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 1689021164

Kelly C. Moore, LISW's National Provider Identifier is 1689021164, issued on May 16, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ames, IA. The record was last updated on Dec 4, 2025.