Judith K Moon LMSW Acsw LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6801012981 Issued in MI

Legal business name

JUDITH K MOON LMSW ACSW LLC

Practice address

37399 Garfield Rd Ste 200
Clinton TWP, MI 48036-3672

Phone

(586) 421-5164

Fax

(586) 421-5179

NPI assigned

Feb 9, 2017

Organization subpart

No

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

Authorized official

Name

Judith Moon

Title

Owner

Phone

(586) 421-5164

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Judith Desoff, LMSW

  • Clinical Social Worker
  • Clinton TWP, MI
  • NPI 1346355005
  Medicare reassignment NPD

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1114465184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37399 GARFIELD RD STE 200",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480363672",
            "telephone_number": "586-421-5164",
            "fax_number": "586-421-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37399 GARFIELD RD STE 200",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480363672",
            "telephone_number": "586-421-5164",
            "fax_number": "586-421-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH K MOON LMSW ACSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-421-5164"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801012981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Lynn Jones
• Michael K Jordan
• Lizbeth Ann Joseph, O.D.
• Joyell Nezich Counseling Services LLC
• Paul Gerard Jozefczyk, PT
• Michael Julian
• Kurt Julius
• Suzannah Juncaj
• Cheryl A Junker, OD
• Pasko Juricic, DDS

• Community/Behavioral Health Agency in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.