Heather Kathleen Moon in Boise - Clinical
Heather Kathleen Moon - NPI 1821261199
Heather Kathleen Moon is a Clinical in Boise, Idaho. Heather Kathleen Moon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Heather Kathleen Moon is 1821261199. The last update date is 2017-02-16.
Heather Kathleen Moon's current location address is 2300 N 26th St, Boise, Idaho. You can contact this provider via phone number 2083716841. The mailing address for Heather Kathleen Moon is 2300 N 26th St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heather Kathleen Moon |
|---|---|
| Address | 2300 N 26th St, Boise, Idaho |
| Phone Number | 2083716841 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1821261199 |
|---|---|
| Provider Enumeration Date | 2008-04-08 |
| Last Updated Date | 2017-02-16 |
Provider Mailing Address Detail
| Address | 2300 N 26th St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837020231 |
| Phone Number | 2083716841 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW-31747 |
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Definition: 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, certif |
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Post Comment/ Review Below
What is the Heather Kathleen Moon's 1821261199?
The Heather Kathleen Moon's NPI (National Provider Identifier) Number is 1821261199. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Heather Kathleen Moon's facilities are situated?
The facilities of Heather Kathleen Moon are physically located at the following address: 2300 N 26Th St, Boise, ID, 837020231.
What is the Heather Kathleen Moon's specialty and taxonomy code?
The Heather Kathleen Moon's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1821261199 to Heather Kathleen Moon?
The Centers for Medicare & Medicaid Services assigned the 1821261199 to Heather Kathleen Moon on 2008-04-08.
When was the Heather Kathleen Moon's information last updated?
The Heather Kathleen Moon's information was last updated on 2017-02-16.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC