Active NPIIndividual provider

Kerry L Moe, LICSW

Social Worker, Clinical in Waltham, Massachusetts

NPI Number1205366549
Practice location
409 Lexington St, Waltham, MA 02452-0933
Fax
—
Last updated
June 3, 2021

Kerry Lynne Moe is a Social Worker, Clinical based in Waltham, MA. Kerry Lynne Moe practices in Waltham, MA and has the professional credentials of LICSW. The NPI Number for Kerry Lynne Moe is 1205366549. The current practice location address for Kerry Lynne Moe is 409 Lexington St, Waltham, MA 02452-0933 and can be reached out via phone at 781-647-9976.

Provider Profile Details

NPI Number
1205366549
Provider Name
Kerry Lynne Moe
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
409 Lexington St, Waltham, MA 02452-0933
Phone Number
781-647-9976
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
June 19, 2017
Last Update Date
June 3, 2021
Certification Date
June 3, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
409 Lexington St
Waltham, MA 02452-0933
Zip
02452-0933
Phone Number
781-647-9976
Waltham, MA 02452Get directions →

Provider Business Mailing Address Details

Address
6 Sylvester RD
Burlington, MA 01803-4322
City
Burlington
State
MA
Zip
01803-4322

License Information

Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kerry L Moe, LICSW?

The NPI number of Kerry L Moe, LICSW is 1205366549. It was assigned on June 19, 2017 and is currently active in the NPPES registry.

What is the specialty of Kerry L Moe, LICSW?

Kerry L Moe, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Kerry L Moe, LICSW practice?

The practice location is 409 Lexington St, Waltham, MA 02452-0933. The office can be reached at 781-647-9976 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205366549 directly on the NPPES registry website.

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