National Provider Identifier

Kaylee A Moore, LCSW

Kaylee A Moore, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Lyons, NY and a listed phone number of (315) 946-5722.

NPI 1316720220Lyons, NYClinical Social Worker

Profile Overview

NPI
1316720220
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
August 15, 2023
Last Updated
March 20, 2025

Practice Location

  • 1519 Nye RD
  • Lyons, NY 14489-9133

Phone: (315) 946-5722

Specialties

  • Clinical Social Worker (1041C0700X)
  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1316720220
Entity Type
Individual
Last Name
Moore
First Name
Kaylee
Middle Name
A
Credential
LCSW
Mailing Street Address
1519 Nye RD
Mailing City
Lyons
Mailing State
NY
Mailing ZIP Code
14489-9133
Mailing Country
US
Mailing Phone
(315) 946-5722
Practice Street Address
1519 Nye RD
Practice City
Lyons
Practice State
NY
Practice ZIP Code
14489-9133
Practice Country
US
Practice Phone
(315) 946-5722
Enumeration Date
August 15, 2023
Last Updated
March 20, 2025
Sex
Female
Sole Proprietor
No
Certification Date
March 20, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X), Mental Health Counselor (101YM0800X)