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

Individual provider Clinical Social Worker · NPI 1710119813

Kimberly Michelle Moore, MSW, LCSW is a Clinical Social Worker in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2009
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

301 McCullough Dr
Charlotte, NC 28262-3310
Phone: (704) 890-6855
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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 C006901 (NC)

Record details

NPI number1710119813
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorYes
NPI enumeratedAugust 22, 2009
Last updated in NPPESAugust 17, 2010

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