Individual provider Active NPI

Lissette N/a Moore-Guerra, LCSW

  • Clinical Social Worker
  • Sunnyvale, CA
National Provider Identifier
1043504947
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
660 S Fair Oaks
VHC at Sunnyvale
Sunnyvale, CA 94086
Phone
(408) 885-7200
NPI assigned
Jun 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

660 S Fair Oaks
VHC at Sunnyvale
Sunnyvale, CA 94086

Mailing address

660 S Fair Oaks
VHC at Sunnyvale
Sunnyvale, CA 94086

Other names 1

  • Miss Lissette N/a Moore Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1043504947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S FAIR OAKS",
            "address_2": "VHC AT SUNNYVALE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "94086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S FAIR OAKS",
            "address_2": "VHC AT SUNNYVALE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "94086",
            "telephone_number": "408-885-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE-GUERRA",
        "first_name": "LISSETTE",
        "middle_name": "N/A",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISSETTE",
            "last_name": "MOORE",
            "middle_name": "N/A",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.