Karen Marie Moffitt, LICSW, CMSW, LCSW
Individual provider Active NPI Clinical Social Worker · Minot Afb, ND
NPI 1790374841 · NPPES record last updated Apr 29, 2025
Key facts
- NPI
- 1790374841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6856 (ND)
- Practice address
- 99 Sirocco Dr Unit 1
Minot Afb, ND 58704-1909 - Phone
- (402) 686-4263
- NPI assigned
- Jan 13, 2021
- 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 |
|---|---|---|---|
| 6856 | ND | MD | Clinical Social Worker |
| 12467 | NE | MD | Obstetrics Physician |
| 3231 | NE | MD | Physician Assistant |
| 2217 | NE | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2217 | NE | |
| Clinical Social Worker | 1041C0700X | 7570 | NE | |
| Clinical Social Worker | 1041C0700X | 3231 | NE | |
| Clinical Social Worker | 1041C0700X | 12467 | NE | |
| Clinical Social Worker | 1041C0700X | 6856 | ND | Yes |
Addresses
Primary practice location
99 Sirocco Dr Unit 1
Minot Afb, ND 58704-1909
Mailing address
99 Sirocco Dr Unit 1
Minot Afb, ND 58704-1909
Phone (402) 686-4263
Other providers in Minot Afb, ND
- Tyler Marshall
- Jonathan Martinez
- Michael D McCarthy
- Kyle McKelvey
- Minot Public Schools
- Mary Maudeana Moore
- Megan Nelson
- Anthony Nielsen
- Jasmine Gianni Nurse
- Scott Edward Olech
All providers in Minot Afb, ND · Clinical Social Worker in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 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.