Moonview Counseling Licensed Clinical Social Worker Corporation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MOONVIEW COUNSELING LICENSED CLINICAL SOCIAL WORKER CORPORATION

Practice address

3560 Pine Ave
Long Beach, CA 90807-3816

Phone

(424) 242-2690

NPI assigned

Oct 24, 2022

Organization subpart

No

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

Authorized official

Name

Natasha Phillips, LCSWNPI 1366040040

Title

Owner

Phone

(310) 259-1002

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Natasha Melanie Phillips, LCSW

  • Clinical Social Worker
  • Long Beach, CA
  • NPI 1366040040
  NPD Authorized official

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1902523772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 PINE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073816",
            "telephone_number": "424-242-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 PINE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073816",
            "telephone_number": "424-242-2690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3711 Long Beach Blvd # 4550",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908073315",
            "country_code": "US",
            "telephone_number": "424-242-2690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOONVIEW COUNSELING LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-23",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-259-1002",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1366040040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy Inkyung Moon, LCSW
• Wan Hee Y. Moon, PH. D., R.D.
• Yong S.K. Moon, PHARM.D.
• Alison Leigh Mooney, RN
• Moonrise Healthcare, Inc.
• Cynthia Kathleen Moore, M.D
• Daney Moore
• Danielle Denice Moore
• Devon Moore
• Dorian Moore

• Clinical Social Worker in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.