Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charlie Ray Hystad-Moe, LCSW

Individual provider Social Worker · NPI 1407344286

Charlie Ray Hystad-Moe, LCSW is a Social Worker in Williston, North Dakota. Works from 2 locations. Licensed in North Dakota.

Licensed in
ND
In the registry since
2018
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2224 1st Ave W Ste 4
Williston, ND 58801-6286
Phone: (701) 572-3335
Fax: (701) 572-3337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5598 145th Ave Nw, Williston, ND 58801-9033 — (701) 695-2226

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 5334 (ND)
Social Worker Taxonomy 104100000X

Record details

NPI number1407344286
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 26, 2018
Last updated in NPPESJanuary 11, 2026
Certification dateJanuary 11, 2026

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