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RISING MOON THERAPEUTIC SERVICES LLC
NPI 1922567775
Social Worker - Clinical in Tucson, AZ

Active since March 19, 2019
4560 E BROADWAY BLVD STE 223, TUCSON, AZ 85711(520) 528-6534 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2019, Mar 19, 2019 (2 updates tracked since 2019).

About Rising Moon Therapeutic Services Llc NPPES

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

RISING MOON THERAPEUTIC SERVICES LLC (NPI 1922567775) is a healthcare organization registered as a clinical in Tucson, Arizona and active in the NPI registry since March 2019. The organization lists Jenna Teso, President, as its authorized official.

NPPES Registry Identity

NPI1922567775
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameRISING MOON THERAPEUTIC SERVICES LLC
Location Address4560 E BROADWAY BLVD STE 223Tucson, AZ 85711-3558
Mailing Address4560 E Broadway Blvd Ste 223Tucson, AZ 85711-3558 · (520) 528-6534
Phone(520) 528-6534
Organization SubpartNo
Authorized OfficialJenna TesoPresident · (520) 528-6534
Enumeration DateMarch 19, 2019
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
✔ NPI 1922567775 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.
4560 E BROADWAY BLVD STE 223, Tucson, AZ 85711
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

MR. GABRIEL MANUEL LOPEZ JR. LMSW
Counselor (Mental Health)
4560 E BROADWAY BLVD STE 223
TUCSON, AZ 85711
Pima County (520) 850-1114
DR. JENNA TESO LCSW
Social Worker
4560 E BROADWAY BLVD STE 223
TUCSON, AZ 85711
Pima County (520) 528-6534

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 Rising Moon Therapeutic Services LLC's NPI number?

The NPI number for Rising Moon Therapeutic Services LLC is 1922567775. It was assigned to this organization in the NPPES registry on March 19, 2019.

Where is Rising Moon Therapeutic Services LLC located?

Rising Moon Therapeutic Services LLC is located at 4560 E Broadway Blvd Ste 223, Tucson, AZ 85711. The listed phone number is (520) 528-6534.

What is Rising Moon Therapeutic Services LLC'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 Rising Moon Therapeutic Services LLC was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.