Kelley Moule, MSW, LMSW
NPI 1689984916 · Clinical Social Worker · Jackson, MS
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelley Moule, MSW, LMSW is a Clinical Social Worker provider in Jackson, MS (NPI 1689984916).
Provider details
- NPI number
- 1689984916
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW, LMSW
- Sex
- Female
- Sole proprietor
- No
- License
- 9101 (SC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
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
Mailing address
Additional practice locations (5)
- 3600 Bluecutt Rd Ste 202Columbus, MS 39705-1397Phone: (205) 246-5690
- 4541 N State StJackson, MS 39206-5308Phone: (601) 533-7017
- 1200 N State St Ste 455Jackson, MS 39202-2000Phone: (601) 957-7343
- 1 Medical Plaza Dr Ste BVicksburg, MS 39180-5187Phone: (205) 246-5690
- 301 Palmetto Park BlvdLexington, SC 29072-7872Phone: (803) 996-1500Fax: (803) 996-1510
Registry dates
- Enumerated
- 2010-10-20
- Last updated
- 2024-11-13
- Certified
- 2024-11-13
Frequently asked questions
- What is Kelley Moule's NPI number?
- Kelley Moule's National Provider Identifier (NPI) is 1689984916, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelley Moule's specialty?
- Kelley Moule is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kelley Moule located?
- Kelley Moule's practice location on file with NPPES is 911 Ellis Ave, Jackson, MS 39209-6256.
- What is Kelley Moule's phone number?
- The practice phone number listed in the NPPES registry for Kelley Moule is (601) 533-7016.
- Does Kelley Moule accept Medicare?
- Kelley Moule is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelley Moule's NPI active?
- Yes — Kelley Moule's NPI (1689984916) is active in the NPPES registry as of the last update on 2024-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.