Individual provider Active NPI

Itzel Guadalupe Moreno-Vega, LMSW, OSW-C

  • Social Worker
  • Rego Park, NY
National Provider Identifier
1265350441
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
120295 Issued in NY
Practice address
9525 Queens Blvd Ste 601
Rego Park, NY 11374-4503
Phone
(718) 460-2300
NPI assigned
Jul 7, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 120295 NY Primary

Addresses

Primary practice location

9525 Queens Blvd Ste 601
Rego Park, NY 11374-4503

Mailing address

9525 Queens Blvd Ste 601
Rego Park, NY 11374-4503
Phone (718) 460-2300

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1265350441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 QUEENS BLVD STE 601",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744503",
            "telephone_number": "718-460-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 QUEENS BLVD STE 601",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744503",
            "telephone_number": "718-460-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO-VEGA",
        "first_name": "ITZEL",
        "middle_name": "GUADALUPE",
        "credential": "LMSW, OSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "120295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.