Individual provider · Type 1 NPI
Kristin Moen, LICSW
Clinical Social Worker · Moorhead, MN
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
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 22205 (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.