MS. KELLY MICHELLE MOORE LCSW
NPI 1134619018
Social Worker - Clinical in Keesler Afb, MS

Active since May 16, 2018
301 FISHER STREET, KEESLER AFB, MS 39534(228) 376-0385 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 17, 2023, Jan 5, 2023, May 16, 2018 (3 updates tracked since 2018).

About Ms. Kelly Michelle Moore Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KELLY MICHELLE MOORE LCSW (NPI 1134619018) is an individual clinical provider in Keesler Afb, Mississippi, licensed in Mississippi (C8385) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1134619018
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KELLY MICHELLE MOORECredential: LCSW
Location Address301 FISHER STREETKeesler Afb, MS 39534
Mailing Address301 Fisher Street, Keesler Afb Mental Health ClinicKeesler Afb, MS 39534 · (228) 376-0385
Sole ProprietorYes
Enumeration DateMay 16, 2018
Last NPPES UpdateFebruary 17, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2023
NPI 1134619018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MS · C8385
Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X · License M8385 (MS), C8385 (MS)
301 FISHER STREET, Keesler Afb, MS 39534

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Advanced Practice Midwife
301 FISHER STREET
BILOXI, MS 39534
Surgery
301 FISHER STREET, KEESLER MEDICAL CENTER DEPARTMENT OF GENERAL SURGERY
KEESLER AFB, BILOXI, MS 39534
Internal Medicine (Interventional Cardiology)
301 FISHER STREET, CARDIOLOGY CLINIC
BILOXI, MS 39534
Internal Medicine
301 FISHER STREET, INTERNAL MEDICINE
BILOXI, MS 39534
Surgery
301 FISHER STREET
KEESLER AIR FORCE BASE, MS 39534
Internal Medicine
301 FISHER STREET, INTERNAL MEDICINE CLINIC
BILOXI, MS 39534
Orthopaedic Surgery
301 FISHER STREET
KEESLER AFB, MS 39534
Preventive Medicine (Aerospace Medicine)
301 FISHER STREET
KEESLER AFB, MS 39534

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Moore's NPI number?

The NPI number for Kelly Moore is 1134619018. It was assigned to this individual provider in the NPPES registry on May 16, 2018.

Where is Kelly Moore located?

Kelly Moore practices at 301 Fisher Street, Keesler Afb, MS 39534. The listed phone number is (228) 376-0385.

What is Kelly Moore's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kelly Moore was last updated on February 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.