Individual provider · Type 1 NPI

Emma Moon, LCSW

Clinical Social Worker · Portland, OR

NPI number 1245514983 Active

Practice location

5441 S Macadam Ave Ste 8054
Portland, OR 97239-6106

Fax (458) 234-4341

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XL8189 (OR)

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 1245514983

Emma Moon, LCSW's National Provider Identifier is 1245514983, issued on Sep 29, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Apr 8, 2026.