IndividualActive
Kendall Moody, PHD, LCSW
NPI 1790213262 · Clinical Social Worker · Bowie, MD
Kendall Moody, PHD, LCSW is a Clinical Social Worker provider in Bowie, MD (NPI 1790213262).
Provider details
- NPI number
- 1790213262
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- PHD, LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0904009833 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(70/100 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
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
2249 Ruby Turn
Bowie, MD 20721-1897
Phone: (757) 647-5695
Approximate (ZIP-level) locationGet directions
Mailing address
1992 Bizzone Cir
Virginia Beach, VA 23464-1538
Registry dates
- Enumerated
- 2017-05-30
- Last updated
- 2025-08-14
- Certified
- 2025-08-14
Frequently asked questions
- What is Kendall Moody's NPI number?
- Kendall Moody's National Provider Identifier (NPI) is 1790213262, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kendall Moody's specialty?
- Kendall Moody is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kendall Moody located?
- Kendall Moody's practice location on file with NPPES is 2249 Ruby Turn, Bowie, MD 20721-1897.
- What is Kendall Moody's phone number?
- The practice phone number listed in the NPPES registry for Kendall Moody is (757) 647-5695.
- Is Kendall Moody's NPI active?
- Yes — Kendall Moody's NPI (1790213262) is active in the NPPES registry as of the last update on 2025-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.