Active NPI
Traci Leane Moreno, LCSW
- Social Worker
- Corpus Christi, TX
National Provider Identifier
1467672402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 3050 Sunnybrook Rd
Corpus Christi, TX 78405 - Phone
- (888) 365-6271
- Fax
- (210) 615-1877
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
3050 Sunnybrook Rd
Corpus Christi, TX 78405
Mailing address
7272 Wurzbach Rd
#601
San Antonio, TX 78240
Phone (210) 615-3408
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53499 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405036800000",
"number": "1467672402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7272 WURZBACH RD",
"address_2": "#601",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78240",
"telephone_number": "210-615-3408",
"fax_number": "877-788-3229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 SUNNYBROOK RD",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "78405",
"telephone_number": "888-365-6271",
"fax_number": "210-615-1877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "TRACI",
"middle_name": "LEANE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2014-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.