MRS. KELLY J MOORE LSCSW, LAC
NPI 1689402455
Social Worker - Clinical in Wichita, KS

Active since July 23, 2024
1126 S CLIFTON AVE, WICHITA, KS 67218(316) 208-5220 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Kelly J Moore Lscsw, Lac NPPES

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

MRS. KELLY J MOORE LSCSW, LAC (NPI 1689402455) is an individual clinical provider in Wichita, Kansas, licensed in Kansas (06496) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1689402455
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KELLY J MOORECredential: LSCSW, LAC
Location Address1126 S CLIFTON AVEWichita, KS 67218-2913
Mailing Address1126 S. Clifton Ave.Wichita, KS 67218-2913
Sole ProprietorYes
Enumeration DateJuly 23, 2024
NPPES CertifiedJuly 23, 2024
NPI 1689402455 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 KS · 06496
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.

1126 S CLIFTON AVE, Wichita, KS 67218

Other Providers at the Same Location NPPES 5

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

Family Medicine
1126 S CLIFTON AVE
WICHITA, KS 67218
Family Medicine
1126 S CLIFTON AVE
WICHITA, KS 67218
Family Medicine
1126 S CLIFTON AVE
WICHITA, KS 67218
Family Medicine
1126 S CLIFTON AVE
WICHITA, KS 67218
Family Medicine
1126 S CLIFTON AVE
WICHITA, KS 67218

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 1689402455. It was assigned to this individual provider in the NPPES registry on July 23, 2024.

Where is Kelly Moore located?

Kelly Moore practices at 1126 S Clifton Ave, Wichita, KS 67218. The listed phone number is (316) 208-5220.

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 July 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.