Ricki Moran, LCSW
Individual provider Active NPI Clinical Social Worker · Holt, MO
NPI 1538031190 · NPPES record last updated Sep 22, 2025
Key facts
- NPI
- 1538031190
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2017027553 (MO)
- Practice address
- 17813 Thompson Rd
Holt, MO 64048-8857 - Phone
- (816) 898-2763
- NPI assigned
- Sep 22, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017027553 | MO | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2017027553 | MO | Yes |
Addresses
Primary practice location
17813 Thompson Rd
Holt, MO 64048-8857
Mailing address
17813 Thompson Rd
Holt, MO 64048-8857
Phone (816) 898-2763
Other providers in Holt, MO
- Aaron Barnes
- Betty Anne Bogart
- Sarah Julia Carter
- Laura Downing
- Holt Community Fire Protection District
- Larry Moyer
- David L Murphy
- Amanda J Robertson
- Beverly Joann Speiser
All providers in Holt, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.