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WONDER MOON
NPI 1962138263
Social Worker in Salt Lake City, UT

Active since July 28, 2022
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124(888) 949-4864 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Wonder Moon NPPES

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

WONDER MOON (NPI 1962138263) is an individual social worker in Salt Lake City, Utah and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1962138263
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameWONDER MOON
Location Address4460 S HIGHLAND DRSalt Lake City, UT 84124-3543
Mailing Address4460 S Highland DrSalt Lake City, UT 84124-3543 · (888) 949-4864
Phone(888) 949-4864
Sole ProprietorNo
Enumeration DateJuly 28, 2022
NPPES CertifiedJuly 28, 2022
✔ NPI 1962138263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
4460 S HIGHLAND DR, Salt Lake City, UT 84124
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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.

TRACY VERSLUIS
Counselor
4460 S HIGHLAND DR, 230
SALT LAKE CITY, UT 84124
Salt Lake County (888) 949-4864
ALICIA VIGIL
Counselor
4460 S HIGHLAND DR, #230
SALT LAKE CITY, UT 84124
Salt Lake County (888) 949-4864
LEVI ERNEST
Counselor
4460 S HIGHLAND DR, SUITE 230
SLC, UT 84124
Salt Lake County (888) 949-4864
MRS. LACEY RENEE CONNER
Behavior Analyst
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124
Salt Lake County (888) 949-4864
CRYSTAL MARSHALL APRN
Nurse Practitioner (Psychiatric/Mental Health)
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124
Salt Lake County (888) 949-4864
MARINA TORRES
Registered Nurse
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124
Salt Lake County (888) 949-4864
TAMMY LEANN VARCO CMHC
Counselor (Mental Health)
4460 S HIGHLAND DR, #230
SALT LAKE CITY, UT 84124
Salt Lake County (888) 949-4864
KAYLUM JAMES PALETTA
Counselor (Mental Health)
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124
Salt Lake County (888) 949-4864

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 Wonder Moon's NPI number?

The NPI number for Wonder Moon is 1962138263. It was assigned to this individual provider in the NPPES registry on July 28, 2022.

Where is Wonder Moon located?

Wonder Moon practices at 4460 S Highland Dr, Salt Lake City, UT 84124. The listed phone number is (888) 949-4864.

What is Wonder Moon's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Wonder Moon was last updated on July 28, 2022. 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.