Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kelly Conroy Moore, PHD, LICSW

Individual provider Clinical Social Worker · NPI 1134322589

Dr. Kelly Conroy Moore, PHD, LICSW is a Clinical Social Worker in Redmond, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

8290 165th Ave NE
Redmond, WA 98052-3948
Phone: (425) 869-2644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW00009424 (WA)

Record details

NPI number1134322589
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LICSW
Sole proprietorYes
NPI enumeratedJune 5, 2007
Last updated in NPPESJuly 8, 2007

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