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TRIPLE MOON PSYCHOTHERAPY COLLECTIVE A LICENSED SOCIAL WORKER CORP
NPI 1306587837
Social Worker - Clinical in Garden Grove, CA

Active since April 06, 2022
12371 LEWIS ST STE 103, GARDEN GROVE, CA 92840(949) 868-8255 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 4, 2023, Apr 6, 2022 (2 updates tracked since 2022).

About Triple Moon Psychotherapy Collective A Licensed Social Worker Corp NPPES

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

TRIPLE MOON PSYCHOTHERAPY COLLECTIVE A LICENSED SOCIAL WORKER CORP (NPI 1306587837), doing business as Triple Moon Psychotherapy Collective, is a healthcare organization registered as a clinical in Garden Grove, California and active in the NPI registry since April 2022. The organization lists Amy Le Reve Renderos, Director, as its authorized official.

NPPES Registry Identity

NPI1306587837
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTRIPLE MOON PSYCHOTHERAPY COLLECTIVE A LICENSED CLINICAL SOCIAL WORKER
Location Address12371 LEWIS ST STE 103Garden Grove, CA 92840-4687
Mailing Address12371 Lewis St Ste 103Garden Grove, CA 92840-4687 · (951) 870-1528
Phone(949) 868-8255
Organization SubpartNo
Authorized OfficialAmy Le Reve RenderosDirector · (951) 870-1528
Enumeration DateApril 6, 2022
Last NPPES UpdateOctober 4, 20232 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
✔ NPI 1306587837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
12371 LEWIS ST STE 103, Garden Grove, CA 92840
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Other Names 2

Other NameTriple Moon Psychotherapy Collective A Licensed Social Worker Corp
Doing Business AsTriple Moon Psychotherapy Collective

Other Identifiers 1

Medicaid100215178CA

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

Other Providers at the Same Location NPPES 3

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

AMY LE REVE RENDEROS LMFT, LPCC
Marriage & Family Therapist
12371 LEWIS ST STE 103
GARDEN GROVE, CA 92840
Orange County (949) 298-7247
GUARDIAN ANGEL FAMILY COUNSELING PC
Marriage & Family Therapist
12371 LEWIS ST STE 103
GARDEN GROVE, CA 92840
Orange County (714) 222-4594
VERUS WELLNESS LLC
Dietitian, Registered
12371 LEWIS ST STE 103
GARDEN GROVE, CA 92840
Orange County (949) 438-0826

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 Triple Moon Psychotherapy Collective A Licensed Clinical Social Worker's NPI number?

The NPI number for Triple Moon Psychotherapy Collective A Licensed Clinical Social Worker is 1306587837. It was assigned to this organization in the NPPES registry on April 6, 2022. The provider is doing business as Triple Moon Psychotherapy Collective. The provider is also known as Triple Moon Psychotherapy Collective A Licensed Social Worker Corp.

Where is Triple Moon Psychotherapy Collective A Licensed Clinical Social Worker located?

Triple Moon Psychotherapy Collective A Licensed Clinical Social Worker is located at 12371 Lewis St Ste 103, Garden Grove, CA 92840. The listed phone number is (949) 868-8255.

What is Triple Moon Psychotherapy Collective A Licensed Clinical Social Worker's specialty?

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

When was this NPI record last updated?

The NPPES record for Triple Moon Psychotherapy Collective A Licensed Clinical Social Worker was last updated on October 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.