Active NPI
Sheila Rene Moreno
- Clinical Social Worker
- Stockton, CA
National Provider Identifier
1568026540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 109900
- Practice address
- 1803 W March LN Ste Ac&D
Stockton, CA 95207-6458 - Phone
- (209) 636-5353
- Fax
- (209) 636-5354
- NPI assigned
- Apr 25, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Peer Specialist | 175T00000X | |||
| Clinical Social Worker | 1041C0700X | 109900 | CA | Primary |
Addresses
Primary practice location
1803 W March LN Ste Ac&D
Stockton, CA 95207-6458
Mailing address
1803 W March LN Ste C&D
Stockton, CA 95207-6458
Phone (209) 636-5353
Other practice location 1
609 5th St
Modesto, CA 95351-3316
Phone (209) 341-0718 ext. 20934
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sheilamoreno@tpcp.org | Direct | |
| Direct Messaging Address | Sheilamoreno@tpcp.org | Direct |
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 |
|---|---|---|---|
| 109900 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turning Point Community Programs | Past | Accepting new patients | |
| Turning Point Community Programs | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Stockton, CA
- NPI 1497218861
-
- Mental Illness Community Based Residential Treatment Facility
- Modesto, CA
- NPI 1740489574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1568026540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1803 W MARCH LN STE C&D",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076458",
"telephone_number": "209-636-5353",
"fax_number": "209-636-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1803 W MARCH LN STE AC&D",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076458",
"telephone_number": "209-636-5353",
"fax_number": "209-636-5354"
}
],
"practiceLocations": [
{
"address_1": "609 5th St",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953513316",
"country_code": "US",
"telephone_number": "209-341-0718 x20934",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORENO",
"first_name": "SHEILA",
"middle_name": "RENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-25",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "109900",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sheilamoreno@tpcp.org",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "609 5th St",
"city": "Modesto",
"state": "CA",
"country_code": "US",
"postal_code": "953513316",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Sheilamoreno@tpcp.org",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1803 W March Ln Ste C&d",
"city": "Stockton",
"state": "CA",
"country_code": "US",
"postal_code": "952076458",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.