KELLY C MOORE LISW
NPI 1689021164
Social Worker - Clinical in Ames, IA

Active since May 16, 2016
4923 LINCOLN WAY STE 102, AMES, IA 50014(515) 368-7050(515) 206-9039 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 4, 2025, May 16, 2016 (2 updates tracked since 2016).

About Kelly C Moore Lisw NPPES

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

KELLY C MOORE LISW (NPI 1689021164) is an individual clinical provider in Ames, Iowa, licensed in Iowa (008397) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1689021164
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY C MOORECredential: LISW
Location Address4923 LINCOLN WAY STE 102Ames, IA 50014-3616
Mailing Address4923 Lincoln Way Ste 102Ames, IA 50014-3616 · (515) 368-7050 · Fax (515) 206-9039
Fax(515) 206-9039
Sole ProprietorNo
Enumeration DateMay 16, 2016
Last NPPES UpdateDecember 4, 20252 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
NPI 1689021164 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 IA · 008397
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.

4923 LINCOLN WAY STE 102, Ames, IA 50014

Other Providers at the Same Location NPPES 4

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

Counselor (Mental Health)
4923 LINCOLN WAY STE 102
AMES, IA 50014
Social Worker (Clinical)
4923 LINCOLN WAY STE 102
AMES, IA 50014
Counselor (Mental Health)
4923 LINCOLN WAY STE 102
AMES, IA 50014
Counselor (Mental Health)
4923 LINCOLN WAY STE 102
AMES, IA 50014

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 1689021164. It was assigned to this individual provider in the NPPES registry on May 16, 2016.

Where is Kelly Moore located?

Kelly Moore practices at 4923 Lincoln Way Ste 102, Ames, IA 50014. The listed phone number is (515) 368-7050.

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 December 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.