Individual provider · Type 1 NPI

Kristine Moylan, LICSW

Clinical Social Worker · Plymouth, MA

NPI number 1861534588 Active

Practice location

59 Samoset St
Plymouth, MA 02360-4551

Mailing address

5 Whiting St
Plymouth, MA 02360-2917

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X110526 (MA)

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 1861534588

Kristine Moylan, LICSW's National Provider Identifier is 1861534588, issued on Feb 12, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Plymouth, MA. The record was last updated on Jul 28, 2026.