Organization · Type 2 NPI

Blue Moon Therapy, PLLC

Clinical Social Worker · Katy, TX

NPI number 1972255560 Active

Practice location

23144 Cinco Ranch Blvd # B-1105
Katy, TX 77494-2894

Mailing address

8515 Spotslyvania Ln
Houston, TX 77083-6437

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 1972255560

Blue Moon Therapy, PLLC's National Provider Identifier is 1972255560, issued on Jan 25, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Katy, TX. The record was last updated on Oct 2, 2024.