Active NPI
Andrew Moreno, LICSW
- Clinical Social Worker
- Saint Albans, VT
National Provider Identifier
1487467155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 089.0136132
- Practice address
- 12 Cardinal Cir
Saint Albans, VT 05478-2159 - Phone
- (603) 731-1894
- NPI assigned
- Jan 28, 2025
- Last updated
- Jan 28, 2025
- Sex
- Male
- 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 | 089.0136132 | VT | Primary |
Addresses
Primary practice location
12 Cardinal Cir
Saint Albans, VT 05478-2159
Mailing address
233 E Main St Ste 401
Bozeman, MT 59715-5045
Phone (406) 215-2426
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 |
|---|---|---|---|
| 089.0136132 | VT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1487467155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 E MAIN ST STE 401",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597155045",
"telephone_number": "406-215-2426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 CARDINAL CIR",
"city": "SAINT ALBANS",
"state": "VT",
"postal_code": "054782159",
"telephone_number": "603-731-1894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "ANDREW",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-28",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VT",
"license": "089.0136132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Albans, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.