Charlie Ray Hystad-Moe, LCSW
NPI 1407344286ActiveIndividual· Social Worker, Clinical· Williston, ND
Social Worker, Clinical (LCSW) in Williston, North Dakota, licensed in ND, with an NPI issued in April 2018.
Overview
| NPI | 1407344286 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Apr 26, 2018 |
| Last updated in NPPES | Jan 11, 2026 |
| Certified by provider | Jan 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 5334 | ND |
| Social Worker | 104100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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