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

Dr. Ingyu Moon, LCSW

Individual provider Social Worker · NPI 1053097436

Dr. Ingyu Moon, LCSW is a Social Worker in Flushing, New York. Licensed in Missouri, New Jersey and New York. Registered with an NPI since 2023.

Licensed in
MO, NJ, NY
In the registry since
2023
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4216 162nd St Apt 2
Flushing, NY 11358-4155
Phone: (718) 366-9540
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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 · Licence 2023010568 (MO)
Social Worker Taxonomy 104100000X · Licence 097865-01 (NY)
Social Worker Taxonomy 104100000X · Licence 44SL6251300 (NJ)

Record details

NPI number1053097436
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 22, 2023
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023

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