Lily Moon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09932170 Issued in CO

Practice address

215 S Ash St
Yuma, CO 80759-1903

Phone

(970) 848-2414

NPI assigned

Nov 13, 2016

Last updated

Oct 7, 2025By the provider in NPPES

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

Other names 1

• Jenai Caruso Former name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Centennial Mental Health Center IncGroup PAC ID 5193717213, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Centennial Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sterling, CO
  • NPI 1861479677
  Medicare reassignment Care Compare group NPD
• Centennial Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Yuma, CO
  • NPI 1093572976
  NPD
• Centennial Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Akron, CO
  • NPI 1528825403
  NPD
• Centennial Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Cheyenne Wells, CO
  • NPI 1003673526
  NPD (past)

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

{
    "created_epoch": "1478995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1710429386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S ASH ST",
            "city": "YUMA",
            "state": "CO",
            "postal_code": "807591903",
            "telephone_number": "970-848-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S ASH ST",
            "city": "YUMA",
            "state": "CO",
            "postal_code": "807591903",
            "telephone_number": "970-848-2414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 E 1st St N",
            "address_purpose": "LOCATION",
            "city": "Cheyenne Wells",
            "state": "CO",
            "postal_code": "808105008",
            "country_code": "US",
            "telephone_number": "719-346-8183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 Main St",
            "address_purpose": "LOCATION",
            "city": "Limon",
            "state": "CO",
            "postal_code": "808285127",
            "country_code": "US",
            "telephone_number": "719-775-2313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "871 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "CO",
            "postal_code": "807201705",
            "country_code": "US",
            "telephone_number": "970-345-2254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 W Main St",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "CO",
            "postal_code": "807513168",
            "country_code": "US",
            "telephone_number": "970-522-4392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "CO",
            "postal_code": "801076615",
            "country_code": "US",
            "telephone_number": "303-646-4519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "821 E Railroad Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Morgan",
            "state": "CO",
            "postal_code": "807013365",
            "country_code": "US",
            "telephone_number": "970-867-4924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 N Campbell Ave",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "CO",
            "postal_code": "807341003",
            "country_code": "US",
            "telephone_number": "970-854-2114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Julesburg",
            "state": "CO",
            "postal_code": "807371542",
            "country_code": "US",
            "telephone_number": "970-474-3769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1291 Circle Dr",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "CO",
            "postal_code": "808071245",
            "country_code": "US",
            "telephone_number": "719-346-8183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "LILY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-13",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09932170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENAI",
            "last_name": "CARUSO",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Terisa Kerr, MPC
• Melissa Ivonne Kriley, FNP-C
• Keith Bruce Malchoff Jr., OTR
• Elena Sarai Melendez, CMT
• Jamie Mondragon
• Morrison Optometric Associates PA (Vision Source Yuma)
• Northeast Colorado Health Department
• Northeast Colorado Health Department
• Erin Crosthwait Nowland, DDS
• Matthew Paul Nowland, MD

• Clinical Social Worker in Yuma, CO
• Providers in Yuma, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.