Organization · Type 2 NPI

Moonstone Rising Counseling and Wellness LLC

Clinical Social Worker · Medford, OR

NPI number 1003634130 Active

Practice location

1104 E Jackson St
Medford, OR 97504-7029

Call (888) 556-7282 Map

Fax (458) 203-5051

Mailing address

PO Box 1787
Medford, OR 97501-0261

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1003634130

Moonstone Rising Counseling and Wellness LLC's National Provider Identifier is 1003634130, issued on Sep 27, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Medford, OR. The record was last updated on Oct 15, 2026.