SILVER MOON LLC (NPI# 1104197789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104197789 |
Entity Type | Organization |
Organization Name | SILVER MOON LLC |
Practice Address |
9801 Fall Creek Rd #124 Indianapolis IN 46256-4802 |
Practice Telephone | 3174130119 |
Mailing Telephone | 3174130119 |
Enumeration Date | 2012-01-13 |
Last Update Date | 2012-02-16 |
Authorized Official Name | ELIZABETH FARR (PRESIDENT) |
Authorized Official Telephone | 3174130119 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
34006405A | IN | Behavioral Health & Social Service Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | SILVER MOON LLC | 5999 Karlas Lane, Amity, OR 97101 |
Virginia Business Entities | Silver Moon LLC | 1747 Pennsylvania Ave Nw Ste 1000, Washington, District Of Columbia 20006 |
Street Address |
9801 FALL CREEK RD #124 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46256-4802 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144603291 | Akimi A. Walker | Psychologist | 9801 Fall Creek Rd, #235, Indianapolis, IN 46256-4802 | 2015-07-08 |
1710230081 | The Urban Initiative | Community/Behavioral Health | 9801 Fall Creek Rd, Suite 325, Indianapolis, IN 46256-4802 | 2012-10-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790316859 | Jacob R Weeks | Behavior Technician | 9769 Crosspointed Blvd, Fishers, IN 46256 | 2020-01-28 |
1780236620 | Amare Hospice & Palliative Care | Family Medicine | 10475 Crosspoint Boulevard, Suite 250, Indianapolis, IN 46256 | 2019-07-11 |
1588226864 | Accutreat LLC | Clinical Medical Laboratory | 9661 Crosspoint Blvd, Indianapolis, IN 46256 | 2019-07-08 |
1447732557 | Kathleen O'hara | Marriage & Family Therapist | 8202 Clearvista Pkwy Unit 7, Indianapolis, IN 46256 | 2018-09-05 |
1205313608 | Healing Bridges Counseling, LLC | Marriage & Family Therapist | 8465 Keystone Crossing, Suite 266, Indianapolis, IN 46256 | 2018-07-27 |
1477062123 | Rosalee Ann Miller | Social Worker | 8202 Clearvista Parkway, Suite 6a, Indianapolis, IN 46256 | 2017-09-26 |
1760900039 | Amye Litherland | Registered Nurse | 7525 E. 82nd St Ste A, Indianapolis, IN 46256 | 2017-09-06 |
1275074239 | Jason Dempsey | Hearing Instrument Specialist | 8202 Clearvista Pkwy 3a, Indianapolis, IN 46256 | 2017-03-10 |
1578922761 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 7155 Shadeland Station Way, Suite 130, Indianapolis, IN 46256 | 2016-02-16 |
1477925071 | Samantha Kitcoff | Physician Assistant | 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256 | 2015-10-22 |
Find all providers in zip 46256 |
Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942808886 | Joan Marie Witt | Social Worker | 205 E Hickory Ln, Indianapolis, IN 46227-2447 | 2020-10-13 |
1821695008 | Belinda Shelton Gamble | Social Worker | 9650 E Washington St Ste 245, Indianapolis, IN 46229-3032 | 2020-10-01 |
1225642234 | Charlotte Cox | Social Worker | 124 N Oriental St, Indianapolis, IN 46202-3842 | 2020-09-07 |
1477167641 | Laura Marie Lines | Social Worker | 9165 Otis Ave Ste 215, Indianapolis, IN 46216-2316 | 2020-09-03 |
1477167815 | Cydaria Lashon Cooke | Social Worker | 7909 Preservation Dr, Indianapolis, IN 46278-9553 | 2020-09-02 |
1790396760 | Restored Pieces LLC | Social Worker | 7210 Mars Dr, Indianapolis, IN 46241-3693 | 2020-08-13 |
1215546973 | Tammy M Skinner | Social Worker | 1633 N Capitol Ave # Mt301, Indianapolis, IN 46202-1261 | 2020-07-29 |
1922626092 | Heartland Healing Counseling Services | Social Worker | 2432 Conservatory Dr Fl 2, Indianapolis, IN 46203-3985 | 2020-07-06 |
1710504980 | Salma Mohiuddin | Social Worker | 3418 Bodelva Ln, Indianapolis, IN 46228-2894 | 2020-07-02 |
1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46256 |
Please comment or provide details below to improve the information on SILVER MOON LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.