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

MS. Kelly Michelle Moore, LCSW

Individual provider Social Worker · NPI 1134619018

MS. Kelly Michelle Moore, LCSW is a Social Worker in Keesler AFB, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2018
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.

See every abbreviation used in this directory →

Practice location Address checks out

301 Fisher St
Keesler AFB, MS 39534
Phone: (228) 376-0385
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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 C8385 (MS)
Social Worker Taxonomy 104100000X · Licence M8385 (MS)
Social Worker Taxonomy 104100000X · Licence C8385 (MS)

Record details

NPI number1134619018
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 16, 2018
Last updated in NPPESFebruary 17, 2023
Certification dateFebruary 17, 2023

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