Kelley B. Moule, MSW, LMSW
Clinical Social Worker · Jackson, MS
Kelley B. Moule, MSW, LMSW is a clinical social worker with a practice address in Jackson, Mississippi, and NPI 1689984916, issued on Oct 20, 2010. Check the license (Mississippi C9980, as entered in NPPES) with the Mississippi board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kelley B. Moule
- Credential
- MSW, LMSW
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License numbers
- C9980 MS
9101 SC
Self-reported in NPPES; status is on the state search - Practice location
- 911 Ellis Ave, Jackson, MS 39209
- Phone
- (601) 533-7016
- Enumerated
- Oct 20, 2010
- Record last updated
- Nov 13, 2024
- Medicare enrollment
- Enrolled (PECOS I20210927002505); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 1,028 in Mississippi → Look up another NPI →
Also registered at 911 Ellis Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jazmine Collins, FNP-CFamily Nurse Practitioner1659755429
- April Green, NPNurse Practitioner1194076836
- Caroline Green, FNP-CFamily Nurse Practitioner1578020822
- Joseph Hunter, MDFamily Medicine Physician1467459149
- Bob HutchinsInternal Medicine Physician1033150263
- Wayne Johnson, M.D.Family Medicine Physician1225087588
Verify Kelley B. Moule in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Mississippi board licenses this profession
Search for license C9980Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Oak Street Health Physicians Group OF Mississippi, LLCJackson, MS
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kelley B. Moule among 1,028 clinical social worker records in Mississippi
Kelley B. Moule, MSW, LMSW is one of 1,028 clinical social worker records with a practice address in Mississippi. 13% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 28% of them.
- NPI issued2010 · 28% of these records are older, 67% newer
- In a Medicare fileYes · 13% of these records are
- In the CMS Doctors and Clinicians fileYes · 23% of these records are
- Graduated2008 · median 2011 among the 232 with a school on file
- Record last updated2024 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
162 clinical social worker records list a practice address in Jackson
They are 162 of the 6,997 NPPES records with a practice address in Jackson, and 1,028 clinical social worker records in Mississippi.
All 1,028 in Mississippi → Every provider in Jackson → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Bentia Andrews, LCSWJackson, MS 392091801617808
- Tatanisha Baker, CMHT, MSWJackson, MS 392091629900345
- Vanessa Burkett, BSWJackson, MS 392091083558639
- Dawn Clarke, L.C.S.W.Jackson, MS 392091013159573
- Brandon Dobson, LCSWJackson, MS 392091114460581
- Khrystal HorneJackson, MS 392091194669663
- Tissan Jackson, LCSWJackson, MS 392091619103959
- Kira Johnson, LCSWJackson, MS 392091154514156
Common questions
What is Kelley B. Moule, MSW, LMSW's NPI number?
Kelley B. Moule, MSW, LMSW's National Provider Identifier (NPI) is 1689984916, issued on Oct 20, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Kelley B. Moule, MSW, LMSW located?
The NPPES record lists a practice address at 911 Ellis Ave, Jackson, MS, 39209. Phone: (601) 533-7016. Providers update this record themselves, so call before visiting.
How can I verify Kelley B. Moule, MSW, LMSW's license?
NPPES lists Mississippi license number C9980, as entered by the provider. Search the Mississippi board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.