SILVER MOON LLC
NPI 1104197789
Social Worker - Clinical in Indianapolis, IN

Q: What is Silver Moon LLC's NPI number?

The NPI number for Silver Moon LLC is 1104197789. It was assigned to this organization in the NPPES registry on January 13, 2012.

Q: What is Silver Moon LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Silver Moon LLC was last updated on February 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 13, 2012

9801 FALL CREEK RD, #124, INDIANAPOLIS, IN 46256(317) 413-0119 Get Directions Write a Review

NPPES record last updated: February 16, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Silver Moon Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SILVER MOON LLC (NPI 1104197789) is a healthcare organization registered as a clinical in Indianapolis, Indiana and active in the NPI registry since January 2012. The organization lists Elizabeth Farr, President, as its authorized official.

NPPES Registry Identity

NPI1104197789

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameSILVER MOON LLC

Location Address9801 FALL CREEK RD, #124Indianapolis, IN 46256-4802

Mailing Address9801 Fall Creek Rd, #124Indianapolis, IN 46256-4802 · (317) 413-0119

Phone(317) 413-0119

Organization SubpartNo

Authorized OfficialElizabeth FarrPresident · (317) 413-0119

Enumeration DateJanuary 13, 2012

Last NPPES UpdateFebruary 16, 2012

✔ NPI 1104197789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IN · 34006405A

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, 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.

9801 FALL CREEK RD, Indianapolis, IN 46256

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Silver Moon Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Silver Moon LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Elizabeth Drucker, LCSW

Clinical Social Worker

NPI 1669743894

7108 W RIDGE RUN WAY
Greenfield, IN 46140

(317) 413-0119

✔ PECOS✔ Accepts Medicare7.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Silver Moon LLC's NPI number?

The NPI number for Silver Moon LLC is 1104197789. It was assigned to this organization in the NPPES registry on January 13, 2012.

Where is Silver Moon LLC located?

Silver Moon LLC is located at 9801 Fall Creek Rd #124, Indianapolis, IN 46256. The listed phone number is (317) 413-0119.

What is Silver Moon LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Silver Moon LLC enrolled in Medicare?

Yes. Silver Moon LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Silver Moon LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Silver Moon LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Silver Moon LLC was last updated on February 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.