Active NPIIndividual provider

Dr. Ingyu Moon, LCSW

Social Worker, Clinical in Leonia, New Jersey

NPI Number1053097436
Practice location
318 Beechwood Pl, Leonia, NJ 07605-1713
Fax
—
Last updated
August 15, 2026

Ingyu Moon is a Social Worker, Clinical based in Leonia, NJ. Ingyu Moon practices in Leonia, NJ and has the professional credentials of LCSW. The NPI Number for Ingyu Moon is 1053097436 and holds a License No. 097865-01 (NY). The current practice location address for Ingyu Moon is 318 Beechwood Pl, Leonia, NJ 07605-1713 and can be reached out via phone at 201-970-4460.

Provider Profile Details

NPI Number
1053097436
Provider Name
Ingyu Moon
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
318 Beechwood Pl, Leonia, NJ 07605-1713
Phone Number
201-970-4460
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
June 22, 2023
Last Update Date
August 15, 2026
Certification Date
August 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
318 Beechwood Pl
Leonia, NJ 07605-1713
City
Leonia
Zip
07605-1713
Phone Number
201-970-4460
Leonia, NJ 07605Get directions →

Provider Business Mailing Address Details

Address
318 Beechwood Pl
Leonia, NJ 07605-1713
City
Leonia
State
NJ
Zip
07605-1713
Phone Number
201-970-4460

License Information

License Number (1)
097865-01
License State (1)
NY
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
2023010568
License State (2)
MO
Taxonomy (2)
Social Worker, Clinical · 1041C0700X
License Number (3)
44SC06256200
License State (3)
NJ
Taxonomy (3)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ingyu Moon, LCSW?

The NPI number of Dr. Ingyu Moon, LCSW is 1053097436. It was assigned on June 22, 2023 and is currently active in the NPPES registry.

What is the specialty of Dr. Ingyu Moon, LCSW?

Dr. Ingyu Moon, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 097865-01.

Where does Dr. Ingyu Moon, LCSW practice?

The practice location is 318 Beechwood Pl, Leonia, NJ 07605-1713. The office can be reached at 201-970-4460 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053097436 directly on the NPPES registry website.

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