Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. La Kevia Nadine Moore, EDD, LCSW

Individual provider Clinical Social Worker · NPI 1649039439

Dr. La Kevia Nadine Moore, EDD, LCSW is a Clinical Social Worker in Raleigh, North Carolina. Qualified in 2023, 3 years ago. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2024
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.
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

1300 Western Blvd
Raleigh, NC 27606-2148
Phone: (919) 538-9718
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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 C019411 (NC)

Record details

NPI number1649039439
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDD , LCSW
Sole proprietorNo
NPI enumeratedMarch 15, 2024
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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