Erica Viridiana Moreno, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

649 Barron Blvd
Grayslake, IL 60030-1343

Phone

(815) 200-8520

NPI assigned

Feb 22, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Erica Viridiana Rodriguez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740182400000",
    "number": "1730985417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 HAINESVILLE RD",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600732202",
            "telephone_number": "847-971-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 BARRON BLVD",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301343",
            "telephone_number": "815-200-8520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1108 Hainesville Rd",
            "address_purpose": "LOCATION",
            "city": "Round Lake Beach",
            "state": "IL",
            "postal_code": "600732202",
            "country_code": "US",
            "telephone_number": "847-971-5501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENO",
        "first_name": "ERICA",
        "middle_name": "VIRIDIANA",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-22",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "RODRIGUEZ",
            "middle_name": "VIRIDIANA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Social Worker in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2025; 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.