DR. KELLY CONROY MOORE (NPI# 1134322589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134322589 |
| Entity Type | Individual |
| Full Name | DR. KELLY CONROY MOORE |
| Credential | PHD, LICSW |
| Practice Address |
8290 165th Ave Ne Redmond WA 98052-3948 |
| Mailing Address |
4126 117th Ave Ne Kirkland WA 98033-8744 |
| Practice Telephone | 4258692644 |
| Mailing Telephone | 4255760181 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LW00009424 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457901233 | Kelly Lynn Moore | Counselor | 11111 E Mississippi Ave Ste 268, Aurora, CO 80012-3106 | 2019-09-13 |
| 1962981563 | Kelly Moore | Massage Therapist | 1776 S Jackson St Ste 830, Denver, CO 80210-3807 | 2018-08-14 |
| 1134619018 | Kelly Michelle Moore | Social Worker | 446 Pinecrest Cir, Long Beach, MS 39560-3639 | 2018-05-16 |
| 1932630902 | Kelly Moore | Optometrist | 1611 Plummer St #112e, North Hills, CA 91403-2036 | 2017-03-22 |
| 1780128942 | Kelly Renee Moore | Nurse Practitioner | 224 Margaret Michelle Ct, Saint Peters, MO 63376-4812 | 2016-12-07 |
| 1568817369 | Kelly Moore | Skilled Nursing Facility | 29 Nonotuck Rd, West Springfield, MA 01089-1616 | 2016-04-28 |
| 1588042980 | Kelly Moore | Registered Nurse | 1507 Broad Blvd, Cuyahoga Falls, OH 44223-2434 | 2015-05-18 |
| 1770977563 | Kelly Moore | Registered Nurse | 1120 Huffman Rd Ste 24-787, Anchorage, AK 99515-3516 | 2015-03-19 |
| 1790106342 | Kelly Ann Moore | Behavioral Analyst | 17845 Ridgeland Ave, Tinley Park, IL 60477-4383 | 2013-12-29 |
| 1720327570 | Kelly Moore | Occupational Therapy Assistant | 1848 E Gemini Dr, Tempe, AZ 85283-6000 | 2013-02-13 |
| Street Address |
8290 165TH AVE NE |
| City | REDMOND |
| State | WA |
| Zip Code | 98052-3948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427083518 | Amy N Nichols | Social Worker | 8290 165th Ave Ne, Redmond, WA 98052-3948 | 2006-07-11 |
| 1063986339 | Lori Shoemaker | Counselor | 8290 165th Ave Ne, Redmond, WA 98052-3948 | 2019-01-19 |
| 1851736318 | Jeannie Ashmore Manning | Counselor | 8290 165th Ave Ne, Redmond, WA 98052-3948 | 2013-05-09 |
| 1053662551 | Robert Lawrence Mcguire | Counselor | 8290 165th Ave Ne, Redmond, WA 98052-3948 | 2012-09-24 |
| 1063708469 | Cerise Mckenna Vablais | Psychologist | 8290 165th Ave Ne, Redmond, WA 98052-3948 | 2011-06-23 |
| 1093964561 | Michelle Marie Cani Battin | Psychologist | 8290 165th Ave Ne, Redmond, WA 98052-3948 | 2008-09-09 |
| 1013191352 | Matthew D Markell | Counselor | 8290 165th Ave Ne, Redmond, WA 98052-3948 | 2007-12-21 |
| 1891827093 | Janice Hoshino | Marriage & Family Therapist | 8290 165th Ave Ne, Redmond, WA 98052-3948 | 2007-03-12 |
| 1629107008 | Tim Mckee | Counselor | 8290 165th Ave Ne, Redmond, WA 98052-3948 | 2007-03-03 |
| 1922142678 | Wendy Louise Berg | Counselor | 8290 165th Ave Ne, Redmond, WA 98052-3948 | 2007-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396301255 | Saraa Abdulateef | Dentist | 16150 Ne 85th St., #212, Redmond, WA 98052 | 2019-05-16 |
| 1174186837 | Zeinab Birjandian | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 | 2019-04-18 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1275047599 | Simeon P Roth | Pharmacist | 8547 Avondale Road Ne, Redmond, WA 98052 | 2017-11-22 |
| 1427560267 | Rania Abou Shadi | Pharmacy | 8862 161st Avenue Ne, Suite 102, Redmond, WA 98052 | 2017-11-02 |
| 1376068981 | Mark W Debourke | Clinic/Center | 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 | 2017-08-04 |
| 1740712280 | Hyomi Cho | Dentist | 15165 Ne24 Th St, Redmond, WA 98052 | 2017-04-03 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| 1346797933 | Bridger Griffin | Speech-Language Pathologist | 8301 16st Ave Ne, Redmond, WA 98052 | 2016-09-01 |
| 1508313123 | Austin Schieler | Pharmacist | 14480 Ne 24th Street, Redmond, WA 98052 | 2016-09-01 |
| Find all providers in zip 98052 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104385418 | La Li | Social Worker | 11752 163rd Pl Ne, Redmond, WA 98052-2395 | 2019-03-16 |
| 1114416120 | Rachel Marie Duthler | Social Worker | 16307 Ne 83rd St Ste 204, Redmond, WA 98052-3867 | 2018-05-04 |
| 1720513799 | Marcy Feinstein | Social Worker | 15600 Redmond Way Ste 202, Redmond, WA 98052-3862 | 2017-04-26 |
| 1972046951 | Rachel Wilberger | Social Worker | 16501 Ne 33rd Ct Apt Yy101, Redmond, WA 98052-9377 | 2016-11-23 |
| 1689035891 | Shauna Mcdonough | Social Worker | 2659 Sw 4th St, Suite 102, Redmond, OR 97756-6406 | 2016-03-15 |
| 1881052009 | Katie Brobeck | Social Worker | 7515 Falcon Crest Dr # 200, Redmond, OR 97756-5014 | 2016-02-02 |
| 1770951287 | Ellen Bovarnick | Social Worker | 24445 Ne Vine Maple Way, Redmond, WA 98053-5677 | 2015-09-14 |
| 1700216439 | Kathleen Kaiser | Social Worker | 7981 168th Ave Ne Ste 224, Redmond, WA 98052-0911 | 2013-11-15 |
| 1780018309 | Marisa Calvert | Social Worker | 2250 Sw 21st St Apt 23, Redmond, OR 97756-1825 | 2013-08-30 |
| 1306289277 | Asa Racquel Aramburo | Social Worker | 203 Sw 8th St., Redmond, OR 97756 | 2013-04-10 |
| Find all providers in REDMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.