Individual provider · Type 1 NPI
Ingyu Moon, LCSW
Clinical Social Worker · Leonia, NJ
Practice location
318 Beechwood Pl
Leonia, NJ 07605-1713
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 097865-01 (NY) |
| Clinical Social Worker | 1041C0700X | 2023010568 (MO) |
| Clinical Social Worker Primary | 1041C0700X | 44SC06256200 (NJ) |
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 1053097436
Ingyu Moon, LCSW's National Provider Identifier is 1053097436, issued on Jun 22, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Leonia, NJ. The record was last updated on Aug 15, 2026.