JENSEN M MOON LISW
NPI 1790236792
Social Worker - Clinical in Canton, OH

Q: What is Jensen Moon's NPI number?

The NPI number for Jensen Moon is 1790236792. It was assigned to this individual provider in the NPPES registry on October 14, 2016. The provider is also known as Jensen M Dearment Lisw.

Q: What is Jensen Moon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jensen Moon was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 14, 2016

1341 MARKET AVE N, CANTON, OH 44714(330) 453-8252(330) 452-4655 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 30, 2023, Dec 22, 2021, Mar 17, 2021 and 2 more (5 updates tracked since 2016).

On this page

About Jensen M Moon Lisw NPPES

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

JENSEN M MOON LISW (NPI 1790236792) is an individual clinical provider in Canton, Ohio, licensed in Ohio (I.2102686) and active in the NPI registry since October 2016. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790236792

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJENSEN M MOONCredential: LISW

Location Address1341 MARKET AVE NCanton, OH 44714-2605

Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 453-8252 · Fax (330) 453-6716

Phone(330) 453-8252

Fax(330) 452-4655

Sole ProprietorNo

Enumeration DateOctober 14, 2016

Last NPPES UpdateJanuary 30, 20235 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2023

✔ NPI 1790236792 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 OH · I.2102686

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.

1341 MARKET AVE N, Canton, OH 44714

Open in Google Maps ↗

Other Names 1

Former Name (1)Jensen M Dearment Lisw

Secondary Practice Locations 2

Location 11680 Nave Rd SEMassillon, OH 44646-9604 · Phone (330) 830-8740 · Fax (330) 830-0912

Location 21207 W State St Ste MAlliance, OH 44601-4686 · Phone (330) 821-8407 · Fax (330) 821-8506

Other Identifiers 1

Medicaid0273660OH

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.

JOSEPH N LOCKETT LICDC

Counselor (Addiction (Substance Use Disorder))