Active NPI
Nadia R Moreno, PHD
- Clinical Social Worker
- Round Rock, TX
National Provider Identifier
1629783980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 58660
- 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
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58660 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Specialists (de), P.a. | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.