Individual provider · Type 1 NPI

Keonna Moffett, LICSW

Clinical Social Worker · Renton, WA

NPI number 1871197814 Active

Practice location

2715 Naches Ave SW
Renton, WA 98057-2627

Call (206) 630-1680 Map

Fax (206) 630-1601

Mailing address

4302 S 122nd St
Tukwila, WA 98178-3437

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW60608715 (WA)

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 1871197814

Keonna Moffett, LICSW's National Provider Identifier is 1871197814, issued on Nov 30, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Renton, WA. The record was last updated on Apr 15, 2021.