Active NPI
Amanda Moreno, LCSW-C
- Social Worker
- Derwood, MD
National Provider Identifier
1912442369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 19971
- Practice address
- 7300 Calhoun PL Ste 600
Derwood, MD 20855-3701 - Phone
- (240) 777-4460
- NPI assigned
- Dec 21, 2016
- 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 | 19971 | MD | Primary |
Addresses
Primary practice location
7300 Calhoun PL Ste 600
Derwood, MD 20855-3701
Mailing address
7300 Calhoun PL Ste 600
Derwood, MD 20855-3701
Phone (240) 777-4460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 4, 2024 through Mar 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19971 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1912442369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 CALHOUN PL STE 600",
"city": "DERWOOD",
"state": "MD",
"postal_code": "208553701",
"telephone_number": "240-777-4460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 CALHOUN PL STE 600",
"city": "DERWOOD",
"state": "MD",
"postal_code": "208553701",
"telephone_number": "240-777-4460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "AMANDA",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-21",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "19971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Derwood, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.