Individual provider Active NPI

Laura Marie Moreschini, LCSW

  • Clinical Social Worker
  • Pueblo, CO
National Provider Identifier
1558733121
Registry record updated Dec 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.00991309 Issued in CO
Practice address
503 N Main St Ste 324
Pueblo, CO 81003-3139
Phone
(719) 214-8099
Fax
(855) 775-0361
NPI assigned
Oct 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2023

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 CSW.00991309 CO Primary

Addresses

Primary practice location

503 N Main St Ste 324
Pueblo, CO 81003-3139

Mailing address

521 Linda Vista Ave
Pueblo, CO 81005-1710
Phone (719) 214-8099

Other identifiers 2

IdentifierTypeStateIssuer
9000200878MedicaidCO
2E4379OtherCOMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220420000725 CO Practitioner - Clinical Social Worker 2860889987 Practice locations: Pueblo, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

503 N Main St
Suite 324
Pueblo, CO 81003-3139
Phone (719) 214-8099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.00991309COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Associates for Psychotherapy and Education, PC PastSince Jan 1, 1993 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702771200000",
    "number": "1558733121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 LINDA VISTA AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810051710",
            "telephone_number": "719-214-8099",
            "fax_number": "855-775-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N MAIN ST STE 324",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033139",
            "telephone_number": "719-214-8099",
            "fax_number": "855-775-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORESCHINI",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2023-12-17",
        "certification_date": "2023-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.00991309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000200878",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2E4379",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.