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

Kimberly Ann Moore

Individual provider Clinical Social Worker · NPI 1679051981

Kimberly Ann Moore is a Clinical Social Worker in Providence, Rhode Island. Qualified in 2018, 8 years ago. Practices with Arise Psychotherapy Services Inc, a 9-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
8
Licensed in
RI
In the registry since
2018
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Practice location Address checks out

1 Richmond Sq Ste 333
Providence, RI 02906-5139
Phone: (401) 227-0372
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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 CSW02174 (RI)

Record details

NPI number1679051981
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 31, 2018
Last updated in NPPESJuly 31, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Arise Psychotherapy Services Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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