Individual provider Active NPI

Nadia R Moreno, PHD

  • Clinical Social Worker
  • Round Rock, TX
National Provider Identifier
1629783980
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58660 Issued in TX
Practice address
1 Chisholm Trail Rd Ste 450
Round Rock, TX 78681-5094
Phone
(877) 583-5633
Fax
(844) 583-5633
NPI assigned
Jan 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 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 58660 TX Primary

Addresses

Primary practice location

1 Chisholm Trail Rd Ste 450
Round Rock, TX 78681-5094

Mailing address

101 Southwestern Blvd Ste 101
Sugar Land, TX 77478-3548
Phone (877) 583-5633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
58660TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Specialists (de), P.a. Clinical CurrentSince Jan 1, 2023 Accepting new patients

Locations

1 Chisholm Trail Rd
Ste 450
Round Rock, TX 78681
Phone (512) 862-7200

101 Southwestern Blvd
Ste 290
Sugar Land, TX 77478
Phone (877) 583-5633

101 Southwestern Blvd
Ste 101
Sugar Land, TX 77478

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": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1629783980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SOUTHWESTERN BLVD STE 101",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783548",
            "telephone_number": "877-583-5633",
            "fax_number": "844-583-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHISHOLM TRAIL RD STE 450",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815094",
            "telephone_number": "877-583-5633",
            "fax_number": "844-583-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "NADIA",
        "middle_name": "R",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.