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

Mrs. Kelly J Moore, LSCSW, LAC

Individual provider Clinical Social Worker · NPI 1689402455

Mrs. Kelly J Moore, LSCSW, LAC is a Clinical Social Worker in Wichita, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2024
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

1126 S Clifton Ave
Wichita, KS 67218-2913
Phone: (316) 208-5220
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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 06496 (KS)

Record details

NPI number1689402455
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSCSW , LAC
Sole proprietorYes
NPI enumeratedJuly 23, 2024
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024

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