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MS. LISA J MOON LCSW
NPI 1427112390
Social Worker - Clinical in New London, CT

Active since December 21, 2006PECOS Enrolled
21 MONTAUK AVE, NEW LONDON, CT 06320(860) 271-4715 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Lisa J Moon Lcsw NPPES

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

MS. LISA J MOON LCSW (NPI 1427112390) is an individual clinical provider in New London, Connecticut, licensed in Connecticut (8680) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427112390
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. LISA J MOONCredential: LCSW
Location Address21 MONTAUK AVENew London, CT 06320-4906
Mailing AddressPo Box 390New London, CT 06320-0390 · (860) 271-4715 · Fax (860) 333-1390
Phone(860) 271-4715
Sole ProprietorNo
Enumeration DateDecember 21, 2006
Last NPPES UpdateNovember 8, 2021
NPPES CertifiedNovember 8, 2021
✔ NPI 1427112390 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 CT · 8680
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.
21 MONTAUK AVE, New London, CT 06320
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Lisa J Moon Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06320 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

JODI SAMMARTINO LCSW
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 439-6400
CHERYL COTE M.S.W.
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 271-4700
MARGARET H CORNELL APRN
Clinical Nurse Specialist (Psychiatric/Mental Health, Geropsychiatric)
21 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 271-4700
BETHANY GALLANT LPC
Counselor (Professional)
21 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 443-0530
KATHLEEN GREGA LCSW
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 439-6400
CHRYSTAL ALINE CANOVA LCSW
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 439-6400
SARAH BOCHET
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 439-4700
DR. AMAN SYED DDS
Dentist (General Practice)
21 MONTAUK AVE, SUITE 102
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 447-9280

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 Lisa Moon's NPI number?

The NPI number for Lisa Moon is 1427112390. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Lisa Moon located?

Lisa Moon practices at 21 Montauk Ave, New London, CT 06320. The listed phone number is (860) 271-4715.

What is Lisa Moon's specialty?

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

Is Lisa Moon enrolled in Medicare?

Yes. Lisa Moon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Moon was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.