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

Individual provider Clinical Social Worker · NPI 1154452910

Mr. Kevin Moore, MSW, LCSW is a Clinical Social Worker in Goshen, Indiana. Qualified in 2003, 23 years ago. Practices as a sole proprietor. Licensed in Indiana.

Years since qualifying
23
Licensed in
IN
In the registry since
2007
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

313 S 3rd St
Goshen, IN 46526-3709
Phone: (574) 535-0880
Fax: (574) 535-0882
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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 34005489A (IN)

Record details

NPI number1154452910
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LCSW
Sole proprietorYes
NPI enumeratedMarch 7, 2007
Last updated in NPPESMarch 24, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Not indicated

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