CHARLIE RAY HYSTAD-MOE LCSW
NPI 1407344286
Social Worker - Clinical in Williston, ND

Q: What is Charlie Hystad-moe's NPI number?

The NPI number for Charlie Hystad-moe is 1407344286. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Q: What is Charlie Hystad-moe's specialty?

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

Active since April 26, 2018

2224 1ST AVE W STE 4, WILLISTON, ND 58801(701) 572-3335(701) 572-3337 Get Directions Write a Review

NPPES record last updated: January 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 11, 2026, Mar 6, 2024, Apr 26, 2018 (3 updates tracked since 2018).

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About Charlie Ray Hystad-moe Lcsw NPPES

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

CHARLIE RAY HYSTAD-MOE LCSW (NPI 1407344286) is an individual clinical provider in Williston, North Dakota, licensed in North Dakota (5334) and active in the NPI registry since April 2018. She maintains a secondary practice location in Williston.

NPPES Registry Identity

NPI1407344286

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCHARLIE RAY HYSTAD-MOECredential: LCSW

Location Address2224 1ST AVE W STE 4Williston, ND 58801-6286

Mailing Address2224 1st Ave W Ste 4Williston, ND 58801-6286 · (701) 572-3335 · Fax (701) 572-3337

Phone(701) 572-3335

Fax(701) 572-3337

Sole ProprietorNo

Enumeration DateApril 26, 2018

Last NPPES UpdateJanuary 11, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2026

✔ NPI 1407344286 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 ND · 5334

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

2224 1ST AVE W STE 4, Williston, ND 58801

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Secondary Practice Location 1

Location 15598 145th Ave NWWilliston, ND 58801-9033 · Phone (701) 695-2226

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

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.

KATIE SHANNON LICSW LLC

Social Worker (Clinical)