Jillian Carlson Moon, LSWC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34008871A Issued in IN

Practice address

402 S Richland Creek Dr Ste C
Princeton, IN 47670-9502

Phone

(812) 635-0138

NPI assigned

May 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Maglinger Home Based Services Inc.

  • Mental Health Counselor
  • Evansville, IN
  • NPI 1811293624
  NPD (past)

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1700377694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S RICHLAND CREEK DR STE C",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476709502",
            "telephone_number": "812-635-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "JILLIAN",
        "middle_name": "CARLSON",
        "credential": "LSWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008871A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid West Hospital Physicians, PLLC
• Daniel Miller, PHARMD
• Jana Millikan
• Elizabeth Miskell, MSW
• Mohamed Hytham I Beck MD
• Thomas Melvin Murray, DDS
• Krishna Murthy, M.D.
• Kendall R. Nelson, M.A.,LMFT, LCSW
• Linda Sue Neuhoff, OD
• Tabitha Ann Newman

• Clinical Social Worker in Princeton, IN
• Providers in Princeton, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.