Individual provider · Type 1 NPI

Mary B. Moonen, MSW

Clinical Social Worker · Bradenton, FL

NPI number 1780643072 Active

Practice location

3653 Cortez Road West, Suite 110A
Bradenton, FL 34210

Fax (941) 753-8471

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	SW8791 (FL)
Addiction (Substance Use Disorder) Counselor	101YA0400X	3413 (FL)

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 1780643072

Mary B. Moonen, MSW's National Provider Identifier is 1780643072, issued on Mar 23, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bradenton, FL. The record was last updated on Oct 11, 2011.