Individual provider Active NPI

Sheila Rene Moreno

  • Clinical Social Worker
  • Stockton, CA
National Provider Identifier
1568026540
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
109900 Issued in CA
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

Updated by the provider on Aug 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
109900CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Community Programs PastSince Aug 1, 2022 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.

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.

Verify at the official NPI Registry.