SHELLYE SIMPSON MOON (NPI# 1629355144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629355144 |
| Entity Type | Individual |
| Full Name | SHELLYE SIMPSON MOON |
| Credential | LCSW |
| Practice Address |
11604 Fletcher Hall Ln Austin TX 78717-4451 |
| Practice Telephone | 5128255398 |
| Practice Fax Number | 5123060740 |
| Mailing Telephone | 5128255398 |
| Mailing Fax Number | 5123060740 |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2012-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
50421 | TX | Behavioral Health & Social Service Providers |
| Street Address |
11604 FLETCHER HALL LN |
| City | AUSTIN |
| State | TX |
| Zip Code | 78717-4451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766290 | Eva Charo | Registered Nurse | 2036 Bel Paese Bend, Leander, TX 78717 | 2020-10-06 |
| 1568940591 | Hannah Joy Winger | Registered Nurse | 15510 Ranch Road 620 North. Apt 2104, Austin, TX 78717 | 2018-08-01 |
| 1811406192 | Msh Diamondback Health Services LLC | Nurse Practitioner | 16219 Ranch Road 620, Austin, TX 78717 | 2017-09-29 |
| 1790204378 | May Paraan Harris | Nurse Practitioner | 162919 Ranch Road 620 N., Austin, TX 78717 | 2017-09-14 |
| 1386168706 | Zachary David Lewitz | Pharmacist | 14028 North Us 183, Austin, TX 78717 | 2017-07-27 |
| 1538608724 | Britex Walden Pllc | Clinic/Center | 9800 North Lake Creek Parkway, Suite # 150, Austin, TX 78717 | 2017-02-21 |
| 1639574338 | Sam's East, Inc. | Technician/Technologist | 10901 Lakeline Mall Dr., Austin, TX 78717 | 2014-10-24 |
| 1023453677 | Nw Dentistry and Orthodontics, PC | Dentist | 14028 North Us Highway 183, Suite 430, Austin, TX 78717 | 2013-05-08 |
| 1831430677 | Brian Fagan | Pharmacist | 14028 Highway 183, Austin, TX 78717 | 2013-03-04 |
| 1891036703 | Paul Jeffrey Marchioni | Pharmacist | 14028 North Us Hwy. 183, Austin, TX 78717 | 2013-03-04 |
| Find all providers in zip 78717 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326926 | Janai June Bryan | Social Worker | 2312 Western Trails Blvd Ste B204, Austin, TX 78745-1677 | 2020-11-06 |
| 1902405343 | Elizabeth Arthur Thomas | Social Worker | 13128 Amarillo Ave, Austin, TX 78729-7557 | 2020-10-17 |
| 1821695610 | My-emerge,pllc | Social Worker | 13740 Research Blvd # 0-4, Austin, TX 78750-1884 | 2020-10-05 |
| 1215544630 | Emily Hackett | Social Worker | 4131 Spicewood Springs Rd Ste 3, Austin, TX 78759-8661 | 2020-09-29 |
| 1386259364 | Stefanie Nikole Burke | Social Worker | 3607 S Lamar Blvd Apt 1420, Austin, TX 78704-0391 | 2020-09-15 |
| 1326653692 | Susan Malena Gallego | Social Worker | 106 Timber Ridge Cv, Austin, TX 78733-3136 | 2020-09-13 |
| 1588275663 | Armando Sanchez | Social Worker | 3811 Run of The Oaks St Apt C, Austin, TX 78704-7843 | 2020-08-12 |
| 1861002594 | Jeneke Lesak | Social Worker | 111 Ramble Ln Ste 120-d, Austin, TX 78745-2278 | 2020-08-06 |
| 1306456264 | Abby Lubran | Social Worker | 6906 Langston Dr, Austin, TX 78723-2220 | 2020-08-05 |
| 1639788516 | James Nichols | Social Worker | 12319 Willow Wild Dr, Austin, TX 78758-2725 | 2020-07-27 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.