Individual provider · Type 1 NPI
Kendall L. Moody, PhD, LCSW
Clinical Social Worker · Bowie, MD
Practice location
2249 Ruby Turn
Bowie, MD 20721-1897
Mailing address
1992 Bizzone Cir
Virginia Beach, VA 23464-1538
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 0904009833 (VA) |
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 1790213262
Kendall L. Moody, PhD, LCSW's National Provider Identifier is 1790213262, issued on May 30, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bowie, MD. The record was last updated on Aug 14, 2025.