IndividualActive
Kerry Moe, LICSW
NPI 1205366549 · Clinical Social Worker · Waltham, MA
Kerry Moe, LICSW is a Clinical Social Worker provider in Waltham, MA (NPI 1205366549).
Provider details
- NPI number
- 1205366549
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% 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
409 Lexington St
Waltham, MA 02452-0933
Phone: (781) 647-9976
Street-level locationGet directions
Mailing address
6 Sylvester Rd
Burlington, MA 01803-4322
Registry dates
- Enumerated
- 2017-06-19
- Last updated
- 2021-06-03
- Certified
- 2021-06-03
Frequently asked questions
- What is Kerry Moe's NPI number?
- Kerry Moe's National Provider Identifier (NPI) is 1205366549, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kerry Moe's specialty?
- Kerry Moe is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kerry Moe located?
- Kerry Moe's practice location on file with NPPES is 409 Lexington St, Waltham, MA 02452-0933.
- What is Kerry Moe's phone number?
- The practice phone number listed in the NPPES registry for Kerry Moe is (781) 647-9976.
- Is Kerry Moe's NPI active?
- Yes — Kerry Moe's NPI (1205366549) is active in the NPPES registry as of the last update on 2021-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.