Individual provider Active NPI

Christa Rachelle Varela-Moreno, MA

  • Clinical Social Worker
  • Indio, CA
National Provider Identifier
1437047776
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113821 Issued in CA
Practice address
81893 Dr Carreon Blvd Ste 4
Indio, CA 92201-5592
Phone
(442) 307-3395
NPI assigned
Jun 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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 113821 CA Primary

Addresses

Primary practice location

81893 Dr Carreon Blvd Ste 4
Indio, CA 92201-5592

Mailing address

79943 Memorial PL
La Quinta, CA 92253-4064
Phone (760) 604-2279

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1437047776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79943 MEMORIAL PL",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922534064",
            "telephone_number": "760-604-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81893 DR CARREON BLVD STE 4",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015592",
            "telephone_number": "442-307-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARELA-MORENO",
        "first_name": "CHRISTA",
        "middle_name": "RACHELLE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "113821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.