Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moon Mama Therapy PLLC

Organization Clinical Social Worker · NPI 1083561161

Moon Mama Therapy PLLC is a Clinical Social Worker in Spanaway, Washington. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18204 A St S
Spanaway, WA 98387-8327
Phone: (360) 545-3458
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1083561161
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley Martinez — Psychotherapist/Owner · (360) 545-3458
NPI enumeratedMarch 16, 2026
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026
Mailing address18204 A St S, Spanaway, WA 98387-8327

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