SHELLYE SIMPSON MOON LCSW
NPI 1629355144
Social Worker - Clinical in Austin, TX

Active since November 11, 2011
11604 FLETCHER HALL LN, AUSTIN, TX 78717(512) 825-5398(512) 306-0740 Get Directions Write a Review

NPPES record last updated: April 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shellye Simpson Moon Lcsw NPPES

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

SHELLYE SIMPSON MOON LCSW (NPI 1629355144) is an individual clinical provider in Austin, Texas, licensed in Texas (50421) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1629355144
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHELLYE SIMPSON MOONCredential: LCSW
Location Address11604 FLETCHER HALL LNAustin, TX 78717-4451
Mailing Address11604 Fletcher Hall LnAustin, TX 78717-4451 · (512) 825-5398 · Fax (512) 306-0740
Fax(512) 306-0740
Sole ProprietorYes
Enumeration DateNovember 11, 2011
Last NPPES UpdateApril 24, 2012
NPI 1629355144 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 TX · 50421
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.
11604 FLETCHER HALL LN, Austin, TX 78717

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 Shellye Moon's NPI number?

The NPI number for Shellye Moon is 1629355144. It was assigned to this individual provider in the NPPES registry on November 11, 2011.

Where is Shellye Moon located?

Shellye Moon practices at 11604 Fletcher Hall Ln, Austin, TX 78717. The listed phone number is (512) 825-5398.

What is Shellye Moon'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 Shellye Moon was last updated on April 24, 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.