Ingyu Moon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06256200 Issued in NJ

Practice address

318 Beechwood PL
Leonia, NJ 07605-1713

Phone

(201) 970-4460

NPI assigned

Jun 22, 2023

Last updated

Aug 15, 2026By the provider in NPPES

Sex

Male

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Touch

  • Mental Health Counselor
  • Little Ferry, NJ
  • NPI 1619793049
  NPD Authorized official
• Korean Community Services of Metropolitan New York, Inc.

  • Community/Behavioral Health Agency
  • Flushing, NY
  • NPI 1942687868
  NPD

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1053097436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 BEECHWOOD PL",
            "city": "LEONIA",
            "state": "NJ",
            "postal_code": "076051713",
            "telephone_number": "201-970-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 BEECHWOOD PL",
            "city": "LEONIA",
            "state": "NJ",
            "postal_code": "076051713",
            "telephone_number": "201-970-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "INGYU",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-22",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "097865-01",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2023010568",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06256200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank David Livelli Jr., M.D.
• Lorraine Volpe MD PLLC
• Thakane Masondo
• Valerie Massrock
• Med Star Medicaltransport
• Soo Hyun Nam, PHARM.D
• New Jersey CVS Pharmacy LLC (CVS Pharmacy 02746)
• Nexius Health
• NJ Hwang Pediatrics PC
• Helena Nussbaum, M.A CCC-SLP

• Clinical Social Worker in Leonia, NJ
• Providers in Leonia, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; 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.