Organization · Type 2 NPI

Moonlight Counseling Center, PLLC

Clinical Social Worker · Champaign, IL

NPI number 1376448548 Active

Practice location

3125 Village Office Pl
Champaign, IL 61822-7673

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 1376448548

Moonlight Counseling Center, PLLC's National Provider Identifier is 1376448548, issued on Oct 8, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Champaign, IL. The record was last updated on Oct 8, 2026.