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

Rebecca Moon, LCSW

Individual provider Mental Health Counselor · NPI 1164877437

Rebecca Moon, LCSW is a Clinical Social Worker in Ketchikan, Alaska. Qualified in 2015, 11 years ago. Accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
11
Licensed in
AK
In the registry since
2016
Specialties on file
2
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

5761 Anna Ct
Ketchikan, AK 99901-9708
Phone: (907) 220-6602
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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
Mental Health Counselor Taxonomy 101YM0800X · Licence 153811 (AK)

Record details

NPI number1164877437
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 25, 2016
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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