MISS JEE-EUN JENNY MOON LCSW
NPI 1114353455
Social Worker - Clinical in Long Beach, CA

Active since September 18, 2013Opted out of Medicare · through Dec 25, 2027
4510 E PACIFIC COAST HWY, SUITE 600, LONG BEACH, CA 90804(562) 346-1143 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Oct 25, 2017, Jun 27, 2017 (3 updates tracked since 2017).

About Miss Jee-eun Jenny Moon Lcsw NPPES

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

MISS JEE-EUN JENNY MOON LCSW (NPI 1114353455) is an individual clinical provider in Long Beach, California, licensed in California (77266) and active in the NPI registry since September 2013. She has opted out of Medicare through December 25, 2027 and maintains a secondary practice location in Torrance.

NPPES Registry Identity

NPI1114353455
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS JEE-EUN JENNY MOONCredential: LCSW
Location Address4510 E PACIFIC COAST HWY, SUITE 600Long Beach, CA 90804-3279
Mailing Address4510 E Pacific Coast Hwy, Suite 600Long Beach, CA 90804-6914 · (562) 346-1143
Sole ProprietorYes
Enumeration DateSeptember 18, 2013
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
NPI 1114353455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 77266
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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
4510 E PACIFIC COAST HWY, Long Beach, CA 90804

Other Names 1

Professional Name (2)Jenny Moon Lcsw

Secondary Practice Location 1

Location 13838 W Carson St Ste 330Torrance, CA 90503-6710 · Phone (424) 262-1761

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Miss Jee-eun Jenny Moon Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 25, 2023 through December 25, 2027.

Opt-Out Effective DateDecember 25, 2023
Opt-Out In Effect ThroughDecember 25, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
4510 E PACIFIC COAST HWY, 210
LONG BEACH, CA 90804
Hospice Care, Community Based
4510 E PACIFIC COAST HWY, SUITE 320
LONG BEACH, CA 90804
Marriage & Family Therapist
4510 E PACIFIC COAST HWY
LONG BEACH, CA 90804
Student in an Organized Health Care Education/Training Program
4510 E PACIFIC COAST HWY, SUITE 600
LONG BEACH, CA 90804
Psychiatry & Neurology (Psychiatry)
4510 E PACIFIC COAST HWY, ROOM 605
LONG BEACH, CA 90804
Psychologist (Clinical)
4510 E PACIFIC COAST HWY, SUITE 210
LONG BEACH, CA 90804
Student in an Organized Health Care Education/Training Program
4510 E PACIFIC COAST HWY
LONG BEACH, CA 90804
Psychologist
4510 E PACIFIC COAST HWY, SUITE 210
LONG BEACH, CA 90804

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 Jee-eun Moon's NPI number?

The NPI number for Jee-eun Moon is 1114353455. It was assigned to this individual provider in the NPPES registry on September 18, 2013. The provider is also known as Jenny Moon Lcsw.

Where is Jee-eun Moon located?

Jee-eun Moon practices at 4510 E Pacific Coast Hwy Suite 600, Long Beach, CA 90804. The listed phone number is (562) 346-1143.

What is Jee-eun Moon's specialty?

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

Is Jee-eun Moon enrolled in Medicare?

No. Jee-eun Moon has opted out of Medicare through December 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jee-eun Moon was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.