Moon Mama Therapy PLLC
NPI 1083561161ActiveOrganization· Social Worker, Clinical· Spanaway, WA
Social Worker, Clinical in Spanaway, Washington, registered in NPPES in March 2026. The authorized official on file is Ashley Martinez, LICSW, PMH-C, Psychotherapist/Owner.
Overview
| NPI | 1083561161 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 16, 2026 |
| Last updated in NPPES | Mar 16, 2026 |
| Certified by provider | Mar 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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