Jill Marie Moeller, LICSW
Social Worker, Clinical in Issaquah, WA. Individual provider (NPI-1).
NPI number1023950409
StatusActive
Last updated in NPPESAug 28, 2026
Details
- NPI
- 1023950409
- Entity type
- Individual (NPI-1)
- Name
- Jill Marie Moeller
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2026
- Certification date
- Aug 28, 2026
- Last updated
- Aug 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LW70095398 | WA | Yes |
Practice location
751 Ne Blakely DrIssaquah, WA 98029-6201
Phone 425-313-7000 · Fax 425-394-7908
Mailing address
Po Box 25608Salt Lake City, UT 84125-0608
Phone 206-320-4476
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All 48 Clinical Social Worker providers in Issaquah · All 2,127 providers in Issaquah
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