Kristen Marie Paulsen Moore, MSW, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

69936 Issued in CA

Practice address

10820 Justice Center Dr
Roseville, CA 95678-6222

Phone

(916) 543-7429

NPI assigned

Sep 16, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1811220262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 JUSTICE CENTER DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786222",
            "telephone_number": "916-543-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 JUSTICE CENTER DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786222",
            "telephone_number": "916-543-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KRISTEN",
        "middle_name": "MARIE PAULSEN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "69936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Moore
• Kaitlynn Moore
• Kathryn Ann Moore, DDS
• Kenneth Earl Moore, DDS
• Kira G. Moore, MD
• Samaira T Moore
• Susan Elaine Moore, MA
• Sydney J Moore, DDS
• Shaian Moradi, PA
• Debbie Morales-Petrie, MS, LMFT

• Social Worker in Roseville, CA
• Providers in Roseville, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.