Individual provider Active NPI

Julieann Moreno, LCSW,CASAC

  • Clinical Social Worker
  • Woodside, NY
National Provider Identifier
1932286358
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
069748 Issued in NY
Practice address
6120 Woodside Ave
Woodside, NY 11377-3557
Phone
(718) 779-1234
Fax
(718) 779-7775
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 069748 NY Primary

Addresses

Primary practice location

6120 Woodside Ave
Woodside, NY 11377-3557

Mailing address

882 Oakfield Ave
Wantagh, NY 11793-1053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070123000237 NY Practitioner - Clinical Social Worker 3173524923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Beach Reach IncGroup PAC ID 3779884572, 14 clinicians

Practice addresses (Care Compare)

2 -12 W Park Ave
Long Beach, NY 11561-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
064675NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Long Beach Reach Inc. CurrentSince Dec 4, 2024 Accepting new patients
Catholic Charities Neigborhood Services Clinical Past Accepting new patients
Catholic Charities Neighborhood Services, Inc. Past Accepting new patients

Locations

2-12 W Park Ave
Ste 200
Long Beach, NY 11561
Phone (516) 889-2332

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932286358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 OAKFIELD AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117931053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 WOODSIDE AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773557",
            "telephone_number": "718-779-1234",
            "fax_number": "718-779-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "JULIEANN",
        "name_prefix": "Ms.",
        "credential": "LCSW,CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

Verify at the official NPI Registry.