Triple Moon Psychotherapy Collective A Licensed Clinical Social Worker
NPI 1306587837ActiveOrganization· Social Worker, Clinical· Garden Grove, CA
Social Worker, Clinical in Garden Grove, California, registered in NPPES in April 2022. The authorized official on file is Amy Le Reve Renderos, LMFT LPCC, Director.
Overview
| NPI | 1306587837 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 6, 2022 |
| Last updated in NPPES | Oct 4, 2023 |
| Certified by provider | Oct 4, 2023 |
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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