Individual provider · Type 1 NPI

Kelly J. Moore, LSCSW, LAC

Clinical Social Worker · Wichita, KS

NPI number 1689402455 Active

Practice location

1126 S Clifton Ave
Wichita, KS 67218-2913

Call (316) 208-5220 Map

Mailing address

1126 S. Clifton Ave.
Wichita, KS 67218-2913

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X06496 (KS)

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 1689402455

Kelly J. Moore, LSCSW, LAC's National Provider Identifier is 1689402455, issued on Jul 23, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wichita, KS. The record was last updated on Jul 23, 2024.