SAMANTHA L MOON (NPI# 1689285124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689285124 |
| Entity Type | Individual |
| Full Name | SAMANTHA L MOON |
| Practice Address |
10715 State Route 691 Athens OH 45701-9154 |
| Practice Telephone | 7246500732 |
| Mailing Telephone | 7246500732 |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1700620-SUPV | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720258874 | Samantha J Moon | Physical Therapist | 1325 San Marco Blvd, Suite 102, Jacksonville, FL 32207-8568 | 2008-03-05 |
| Street Address |
10715 STATE ROUTE 691 |
| City | ATHENS |
| State | OH |
| Zip Code | 45701-9154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1164051926 | Rachel Staker | Student in an Organized Health Care Education/Training Program | 86 Circle Drive, Suite 203, Athens, OH 45701 | 2020-04-03 |
| 1932736709 | Maria Augusta Suarez-hamman | Student in an Organized Health Care Education/Training Program | 86 Columbus Circle, Suite 203, Athens, OH 45701 | 2020-03-23 |
| 1831746882 | Justin Joseph Moakler | Specialist/Technologist | Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 | 2019-08-23 |
| 1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
| 1821559691 | Mary N Lee | Student in an Organized Health Care Education/Training Program | 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2019-03-26 |
| 1275007692 | Gabrielle Ruth Wesemeyer | Student in an Organized Health Care Education/Training Program | 6 South Congress Street, Athens, OH 45701 | 2019-01-18 |
| 1528551918 | Bradford Thomas Meyers | Psychologist | 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 | 2018-06-11 |
| 1912499344 | William Monopoli | Student in an Organized Health Care Education/Training Program | 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2018-06-01 |
| 1477044113 | 59 Green Ltd. | Taxi | 14 Cook Drive, Athens, OH 45701 | 2018-05-29 |
| Find all providers in zip 45701 | ||||
| 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 |
|---|---|---|---|---|
| 1609480557 | Damien W Pettway | Social Worker | 445 Huntington Rd Ste 120, Athens, GA 30606-1840 | 2020-09-08 |
| 1457978249 | Donna Leigh Bliss | Social Worker | 213 East Berkeshire Ct, Athens, GA 30606-8406 | 2020-06-29 |
| 1841814662 | Zoe M Johnson | Social Worker | 269 Towns Walk Dr, Athens, GA 30606-7977 | 2020-06-08 |
| 1205472537 | Andrea Deleo Whittaker | Social Worker | 330 Research Dr Ste 250, Athens, GA 30605-2747 | 2019-11-21 |
| 1598223349 | Latoya Sanders | Social Worker | 909 Blaine Rd, Athens, TX 75751-2969 | 2019-03-11 |
| 1801366729 | Kirstin Miani Kreutzer | Social Worker | 150 Tuxedo Rd, Athens, GA 30606-3134 | 2018-12-04 |
| 1851810949 | Cedar Creek Wellness | Social Worker | 985 Gaines School Rd, Athens, GA 30605-3133 | 2017-09-11 |
| 1386189793 | Devin Mcleod | Social Worker | 265 Pineneedle Rd, Athens, GA 30606-2715 | 2016-12-21 |
| 1851841233 | Leslie Holliday Ring | Social Worker | 337 S Milledge Ave Ste 210, Athens, GA 30605-5664 | 2016-10-10 |
| 1033561436 | Nikiki Stovall | Social Worker | 405 Gaines School Rd Ste C4, Athens, GA 30605-3101 | 2016-07-08 |
| Find all providers in ATHENS | ||||
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| 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.