Individual provider · Type 1 NPI

Kristin Moen, LICSW

Clinical Social Worker · Moorhead, MN

NPI number 1962739904 Active

Practice location

1547 30th Ave S
Moorhead, MN 56560-5149

Mailing address

1401 13th Ave E
West Fargo, ND 58078-3468

Other practice locations

  • 1401 13th Ave E, West Fargo, ND 58078-3468 · (701) 364-0060

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X22205 (MN)

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 1962739904

Kristin Moen, LICSW's National Provider Identifier is 1962739904, issued on Nov 12, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Moorhead, MN. The record was last updated on Jul 21, 2026.