Active NPI
Anna Pille Moreno, LMSW, SSW
- Clinical Social Worker
- Highland, MI
National Provider Identifier
1366965758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801062004
- Practice address
- 2628 S Milford Rd
Highland, MI 48357-4938 - Phone
- (248) 529-3049
- NPI assigned
- Jul 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801062004 | MI | Primary |
Addresses
Primary practice location
2628 S Milford Rd
Highland, MI 48357-4938
Mailing address
7838 Meadow Dr
Waterford, MI 48329-4611
Phone (248) 895-9553
Other practice location 1
2628 S Milford Rd
Highland, MI 48357-4938
Phone (248) 529-3049
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801062004 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1366965758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7838 MEADOW DR",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483294611",
"telephone_number": "248-895-9553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2628 S MILFORD RD",
"city": "HIGHLAND",
"state": "MI",
"postal_code": "483574938",
"telephone_number": "248-529-3049"
}
],
"practiceLocations": [
{
"address_1": "2628 S Milford Rd",
"address_purpose": "LOCATION",
"city": "Highland",
"state": "MI",
"postal_code": "483574938",
"country_code": "US",
"telephone_number": "248-529-3049",
"fax_number": "248-714-8497",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORENO",
"first_name": "ANNA",
"middle_name": "PILLE",
"name_prefix": "Ms.",
"credential": "LMSW, SSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-18",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801062004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.