IndividualActive
Kelly Moore, PHD, LICSW
NPI 1134322589 · Clinical Social Worker · Redmond, WA
Kelly Moore, PHD, LICSW is a Clinical Social Worker provider in Redmond, WA (NPI 1134322589).
Provider details
- NPI number
- 1134322589
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- PHD, LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- LW00009424 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8290 165th Ave Ne
Redmond, WA 98052-3948
Phone: (425) 869-2644
Street-level locationGet directions
Mailing address
4126 117th Ave Ne
Kirkland, WA 98033-8744
Registry dates
- Enumerated
- 2007-06-05
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kelly Moore's NPI number?
- Kelly Moore's National Provider Identifier (NPI) is 1134322589, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Moore's specialty?
- Kelly Moore is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kelly Moore located?
- Kelly Moore's practice location on file with NPPES is 8290 165th Ave Ne, Redmond, WA 98052-3948.
- What is Kelly Moore's phone number?
- The practice phone number listed in the NPPES registry for Kelly Moore is (425) 869-2644.
- Is Kelly Moore's NPI active?
- Yes — Kelly Moore's NPI (1134322589) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.