Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Blue Moon Senior Counseling of California LLC

Organization Clinical Social Worker · NPI 1447678990

Blue Moon Senior Counseling of California LLC provides Clinical Social Worker services in Plainfield, Illinois. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10204 Bode St Ste B
Plainfield, IL 60585-9813
Phone: (855) 241-7160
Fax: (954) 324-8354
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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 SW8327 (FL)

Record details

NPI number1447678990
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melanie Donohue — Owner · (855) 241-7160
NPI enumeratedApril 2, 2014
Last updated in NPPESSeptember 20, 2019
Mailing address10204 Bode St Ste B, Plainfield, IL 60585-9813

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