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: July 19, 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

The NPI number assigned to this healthcare provider is 1629355144, enumerated as an "individual" on November 11, 2011.

The provider is located at 11604 FLETCHER HALL LN AUSTIN, TX 78717 and the phone number is (512) 825-5398.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.