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

Kerie Moore, LCSW

Individual provider Clinical Social Worker · NPI 1013392596

Kerie Moore, LCSW is a Clinical Social Worker in Vienna, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
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

406 E Vine St
Vienna, IL 62995-1612
Phone: (618) 658-3079
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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 149021412 (IL)

Record details

NPI number1013392596
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 24, 2015
Last updated in NPPESJuly 31, 2019
Mailing address408 E Vine St, Po Box 1328, Vienna, IL 62995-1612

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