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

Kimberly Moustoukkis

Individual provider Clinical Social Worker · NPI 1306206008

Kimberly Moustoukkis is a Clinical Social Worker in Normal, Illinois. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

321 Susan Dr Ste C
Normal, IL 61761-6285
Phone: (309) 455-5703
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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 number1306206008
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 24, 2016
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025
Mailing address321 Susan Dr Ste C, Normal, IL 61761-6285

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