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

Kerry Lynne Moe, LICSW

Individual provider Clinical Social Worker · NPI 1205366549

Kerry Lynne Moe, LICSW is a Clinical Social Worker in Waltham, Massachusetts. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

409 Lexington St
Waltham, MA 02452-0933
Phone: (781) 647-9976
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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

Record details

NPI number1205366549
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 19, 2017
Last updated in NPPESJune 3, 2021
Certification dateJune 3, 2021

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