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NPI Code Detail

MEDICARE: KRISTIN NOEL MOODY LCSW

MEDICARE: KRISTIN NOEL MOODY LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker34012456AIN

General Provider Information

NPI Number : 1528921970
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN NOEL MOODY LCSW
Provider Business Mailing Address
First Line : 8401 HARCOURT RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2036
Country : US
Telephone Number : 317-338-4800
Fax Number :
Provider Business Practice Location Address
First Line : 8401 HARCOURT RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2036
Country : US
Telephone Number : 317-338-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 02/10/2026

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