Anita Moreno & Associates LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I7599 Issued in OH

Legal business name

ANITA MORENO & ASSOCIATES LLC

Practice address

31674 Center Ridge Rd
Suite 207
North Ridgeville, OH 44039-2400

Phone

(440) 506-3481

Fax

(440) 249-7267

NPI assigned

Jun 4, 2015

Organization subpart

No

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

Authorized official

Name

Anita Moreno, LISWSNPI 1649309006

Title

Owner

Phone

(440) 506-3481

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anita Moreno, LISW

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1649309006
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1891175873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31674 CENTER RIDGE RD",
            "address_2": "SUITE 207",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440392400",
            "telephone_number": "440-506-3481",
            "fax_number": "440-249-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31674 CENTER RIDGE RD",
            "address_2": "SUITE 207",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440392400",
            "telephone_number": "440-506-3481",
            "fax_number": "440-249-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANITA MORENO & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-506-3481",
        "authorized_official_credential": "LISWS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I7599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tera Ann Baldwin, PMHNP-BC

• Clinical Social Worker in North Ridgeville, OH
• Providers in North Ridgeville, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.