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

Miss. Kimberly Moore, LCSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1336596790

Miss. Kimberly Moore, LCSW is an Addiction (Substance Use Disorder) Counselor in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
Specialties on file
3
What do these letters mean?
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

117 W 130th St
New York, NY 10027-2007
Phone: (347) 423-2565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 72093533 (NY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 18852 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 091234 (NY)

Record details

NPI number1336596790
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 16, 2016
Last updated in NPPESFebruary 16, 2024
Certification dateFebruary 16, 2024

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