Individual provider · Type 1 NPI

Jill Marie Moeller, LICSW

Clinical Social Worker · Issaquah, WA

NPI number 1023950409 Active

Practice location

751 NE Blakely Dr
Issaquah, WA 98029-6201

Call (425) 313-7000 Map

Fax (425) 394-7908

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW70095398 (WA)

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 1023950409

Jill Marie Moeller, LICSW's National Provider Identifier is 1023950409, issued on Apr 7, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Issaquah, WA. The record was last updated on Aug 28, 2026.