Individual provider · Type 1 NPI

Kristy M. Moen, LICSW

Clinical Social Worker · Manchester, NH

NPI number 1922168079 Active

Practice location

445 Cypress St, Suite 8
Manchester, NH 03103-3600

Call (603) 668-4079 Map

Fax (603) 663-8605

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XNone listed
Clinical Social Worker Primary 1041C0700X1735 (NH)

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 1922168079

Kristy M. Moen, LICSW's National Provider Identifier is 1922168079, issued on Dec 11, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Manchester, NH. The record was last updated on Jul 23, 2013.