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DR. KENNETH JERALD MOORE PHD LCSW
NPI 1376722348
Social Worker - Clinical in Tulsa, OK

Active since October 26, 2007
6906 S UTICA PL, TULSA, OK 74136(918) 794-4596 Get Directions Write a Review

NPPES record last updated: August 14, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kenneth Jerald Moore Phd Lcsw NPPES

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

DR. KENNETH JERALD MOORE PHD LCSW (NPI 1376722348) is an individual clinical provider in Tulsa, Oklahoma, licensed in Oklahoma (2165) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1376722348
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDR. KENNETH JERALD MOORECredential: PHD LCSW
Location Address6906 S UTICA PLTulsa, OK 74136-5158
Mailing Address6906 S Utica PlTulsa, OK 74136-5158 · (918) 794-4596
Phone(918) 794-4596
Sole ProprietorYes
Enumeration DateOctober 26, 2007
Last NPPES UpdateAugust 14, 2009
✔ NPI 1376722348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OK · 2165
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.
6906 S UTICA PL, Tulsa, OK 74136
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Other Names 1

Other Name (5)Dr. Ken J Moore Phd, Lcsw

Other Providers at the Same Location NPPES

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

DR. WILMA LOUISE GREENFIELD PHD
Social Worker (Clinical)
6906 S UTICA PL
TULSA, OK 74136
Tulsa County (918) 794-4596

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 Kenneth Moore's NPI number?

The NPI number for Kenneth Moore is 1376722348. It was assigned to this individual provider in the NPPES registry on October 26, 2007. The provider is also known as Dr. Ken J Moore Phd, Lcsw.

Where is Kenneth Moore located?

Kenneth Moore practices at 6906 S Utica Pl, Tulsa, OK 74136. The listed phone number is (918) 794-4596.

What is Kenneth 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 Kenneth Moore was last updated on August 14, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.