Active NPI
Ariana Moreno, LLMSW
- Social Worker
- Mount Clemens, MI
National Provider Identifier
1881110724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801101476
- Practice address
- 175 N Groesbeck Hwy
Mount Clemens, MI 48043 - Phone
- (586) 627-0024
- Fax
- (586) 627-0027
- NPI assigned
- Aug 22, 2017
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801101476 | MI | Primary |
Addresses
Primary practice location
175 N Groesbeck Hwy
Mount Clemens, MI 48043
Mailing address
175 N Groesbeck Hwy
Mount Clemens, MI 48043-1562
Phone (586) 627-0024
Other practice location 1
6800 Newark Rd Ste 200
Imlay City, MI 48444-9656
Phone (810) 724-3201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801101476 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530576000000",
"number": "1881110724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 N GROESBECK HWY",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480431562",
"telephone_number": "586-627-0024",
"fax_number": "586-624-0027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 N GROESBECK HWY",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "48043",
"telephone_number": "586-627-0024",
"fax_number": "586-627-0027"
}
],
"practiceLocations": [
{
"address_1": "6800 Newark Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Imlay City",
"state": "MI",
"postal_code": "484449656",
"country_code": "US",
"telephone_number": "810-724-3201",
"fax_number": "810-724-4605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORENO",
"first_name": "ARIANA",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-22",
"last_updated": "2018-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801101476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Clemens, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.