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Triple Moon Psychotherapy Collective A Licensed Clinical Social Worker

Clinical Social Worker in Garden Grove, CA · enumerated 2022 · authorized official Amy Le Reve Renderos, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306587837

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Registry record

Entity type Organization (Type 2)
Legal business name Triple Moon Psychotherapy Collective A Licensed Clinical Social Worker
Other name <Unavail>
Practice address 12371 Lewis St Ste 103, Garden Grove, CA, 92840
Phone (949) 868-8255
Enumeration date Apr 6, 2022
Last updated in NPPES Oct 4, 2023

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Primary

Authorized official

Name Amy Le Reve Renderos
Title Director
Phone (951) 870-1528

Other identifiers

Identifier Type State Issuer
100215178 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Triple Moon Psychotherapy Collective A Licensed Clinical Social Worker?
NPPES lists Amy Le Reve Renderos (Director) as the authorized official for this organization.
What is the NPI number for Triple Moon Psychotherapy Collective A Licensed Clinical Social Worker?
The NPI for Triple Moon Psychotherapy Collective A Licensed Clinical Social Worker is 1306587837, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-04.