Carlos G Moreno, MSW CLIN THER SOC WK

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS23647 Issued in CA

Practice address

9990 County Farm Rd
Suite 5
Riverside, CA 92503-3542

Phone

(951) 358-3082

Fax

(951) 635-8354

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• A New Reason Non Profit Organization

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Riverside, CA
  • NPI 1740971282
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1912065178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3583 CARLISLE ST",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925717303",
            "telephone_number": "951-943-6187",
            "fax_number": "951-358-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9990 COUNTY FARM RD",
            "address_2": "SUITE 5",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033542",
            "telephone_number": "951-358-3082",
            "fax_number": "951-635-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "CARLOS",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "MSW CLIN THER SOC WK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS23647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Moreno Alvarez
• Moreno Valley Urgent Care Clinic, Inc
• Ana Daisy Moreno
• Andy R Moreno, MFTI, RASI
• Arjay Moreno
• Carolina Moreno
• Daniel John Moreno
• Denesia Moreno
• Diana Moreno
• Genesis Daniela Moreno

• Clinical Social Worker in Riverside, CA
• Providers in Riverside, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.