Kelly Michelle Moore, LCSW
NPI 1134619018ActiveIndividual· Social Worker, Clinical· Keesler Afb, MS
Social Worker, Clinical (LCSW) in Keesler Afb, Mississippi, licensed in MS, with an NPI issued in May 2018.
Overview
| NPI | 1134619018 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | May 16, 2018 |
| Last updated in NPPES | Feb 17, 2023 |
| Certified by provider | Feb 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | C8385 | MS |
| Social Worker | 104100000X | M8385 | MS |
| Social Worker | 104100000X | C8385 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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