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

Nicolette Staton Moon, LCSW

Individual provider Clinical Social Worker · NPI 1346384658

Nicolette Staton Moon, LCSW is a Clinical Social Worker in Glen Allen, Virginia. Licensed in Virginia. Registered with an NPI since 2007.

Licensed in
VA
In the registry since
2007
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

10299 Woodman Rd
Glen Allen, VA 23060-4419
Phone: (804) 727-8500
Fax: (804) 727-8580
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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 0904003308 (VA)

Record details

NPI number1346384658
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 19, 2007
Last updated in NPPESSeptember 26, 2008

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