Pablo Enrique Moro, LCSW, CSOTP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904003141 Issued in VA

Practice address

5415-C Backlick Rd
Springfield, VA 22151

Phone

(703) 339-6471

Fax

(703) 339-5651

NPI assigned

Mar 19, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1458345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1760843676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 523421",
            "address_2": "ATTN CARMEN WYMAN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221525421",
            "telephone_number": "703-339-6471",
            "fax_number": "703-339-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415-C BACKLICK RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "22151",
            "telephone_number": "703-339-6471",
            "fax_number": "703-339-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORO",
        "first_name": "PABLO",
        "middle_name": "ENRIQUE",
        "credential": "LCSW, CSOTP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-19",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0812000185",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Moran-Bernedo, RBT
• Nicole D. Morgan, PSY.D.
• Philip D Morgan, DDS
• Victoria Morillo, QMHP
• Michael Morley
• Wendolyn Morris Montes
• Megan H Morrow, DDS
• Georgina Mortensen
• Catherine Moscoso Sanchez
• Lauren Ashley Moses, AU.D.

• Clinical Social Worker in Springfield, VA
• Providers in Springfield, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.