Organization Active NPI

Moonbow Counseling LLC

  • Clinical Social Worker
  • Hillsdale, NJ
National Provider Identifier
1073292124
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MOONBOW COUNSELING LLC
Practice address
123 Legion PL
Hillsdale, NJ 07642-1537
Phone
(201) 468-9915
NPI assigned
Jul 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Melissa Slivka, LCSWNPI 1891033106
Title
Clinician
Phone
(201) 468-9915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

123 Legion PL
Hillsdale, NJ 07642-1537

Mailing address

123 Legion PL
Hillsdale, NJ 07642-1537

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1073292124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 LEGION PL",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076421537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 LEGION PL",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076421537",
            "telephone_number": "201-468-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONBOW COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-16",
        "status": "A",
        "authorized_official_last_name": "SLIVKA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "201-468-9915",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.