Individual provider Active NPI

Anna Pille Moreno, LMSW, SSW

  • Clinical Social Worker
  • Highland, MI
National Provider Identifier
1366965758
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801062004 Issued in MI
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

Updated by the provider on Mar 17, 2018

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 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

LicenseStateTypeSpecialty
6801062004MIMDClinical 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.

Verify at the official NPI Registry.