Marcos Moreno PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MARCOS MORENO PLLC

Doing business as

Mark Moreno Counseling

Practice address

2596 N Stokesberry PL Ste 180
Meridian, ID 83646-6282

Phone

(208) 391-4841

Fax

(208) 391-4966

NPI assigned

Feb 22, 2020

Last updated

Feb 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marcos Moreno, MSW, LCSWNPI 1528491834

Title

Owner/LCSW

Phone

(208) 391-4841

Specialties & licenses 1

Addresses

Other names 1

• Mark Moreno Counseling Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

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, and the practitioner matching its NPPES authorized official.

• Marcos Moreno, LCSW

  • Clinical Social Worker
  • Meridian, ID
  • NPI 1528491834
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1582329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582329600000",
    "number": "1952935504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5154 N BUCKBOARD PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131871",
            "telephone_number": "208-995-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2596 N STOKESBERRY PL STE 180",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466282",
            "telephone_number": "208-391-4841",
            "fax_number": "208-391-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCOS MORENO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-22",
        "last_updated": "2020-02-22",
        "certification_date": "2020-02-22",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_title_or_position": "OWNER/LCSW",
        "authorized_official_telephone_number": "208-391-4841",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark Moreno Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Manwaring, DNP
• Shaun Mar, DC
• Maranda Argiros ABA Intervention LLC
• Erika Marangi, DPT
• Maureen Letters Marchant
• Scott Edward Marema, MS, ATC, LAT
• Lynne Michelle Margolis, P.T.
• Marianne Zakarian, M.D., P.C.
• Mark D. Wigod, MD, PA
• Mark E. Smith DDS, PC

• Clinical Social Worker in Meridian, ID
• Providers in Meridian, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2020; 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.