Active NPI
Carlos Moreno
- Clinical Social Worker
- Chula Vista, CA
National Provider Identifier
1700408432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW115286
- Practice address
- 1196 Third Ave
Chula Vista, CA 91911-3131 - Phone
- (619) 427-4661
- NPI assigned
- May 15, 2020
- Sex
- Male
- 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 | LCSW115286 | CA | Primary |
Addresses
Primary practice location
1196 Third Ave
Chula Vista, CA 91911-3131
Mailing address
1260 Morena Blvd Ste 200
San Diego, CA 92110-3850
Phone (619) 922-9529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 4, 2026 through Mar 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW115286 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilber Psychological Services a Professional Corporation | Mental Health | Past | Accepting new patients |
| Tanya L. Hilber, PSYD | 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.
-
- Psychologist
- San Diego, CA
- NPI 1528822434
Mental Health
-
- Clinical Psychologist
- San Diego, CA
- NPI 1962807628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1700408432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 MORENA BLVD STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921103850",
"telephone_number": "619-922-9529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1196 THIRD AVE",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919113131",
"telephone_number": "619-427-4661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "CARLOS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-15",
"last_updated": "2023-06-29",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW115286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.