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

Krista Moore, LICSW

Individual provider Clinical Social Worker · NPI 1467322768

Krista Moore, LICSW is a Clinical Social Worker in Owatonna, Minnesota. Qualified in 2016, 10 years ago. Practices with Fernbrook Family Center Inc, a 31-clinician group. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2025
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

2575 Harvest Ln
Owatonna, MN 55060-4305
Phone: (507) 446-0431
Fax: (507) 446-8014
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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 21441 (MN)

Record details

NPI number1467322768
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 11, 2025
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025
Mailing address2575 Harvest Ln, Owatonna, MN 55060-4305

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Fernbrook Family Center Inc — 31 clinicians
Accepts Medicare assignment Not indicated

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