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

Moonlight Trauma and Counseling Center PLLC

Organization Clinical Social Worker · NPI 1740134485

Moonlight Trauma and Counseling Center PLLC is a Clinical Social Worker in Champaign, Illinois. 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

3125 Vlg Ofc PL
Champaign, IL 61822-7673
Phone: (217) 419-1878
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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 number1740134485
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deidre Dame — Lcsw · (217) 419-1878
NPI enumeratedFebruary 20, 2026
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026
Mailing address3125 Village Office Pl, Champaign, IL 61822-7673

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