MS. MICHELLE MORENO (NPI# 1710241310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710241310 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE MORENO |
| Credential | LCSW |
| Practice Address |
615 13th St Suite B Modesto CA 95354-2456 |
| Practice Telephone | 2092223396 |
| Practice Fax Number | 2092890061 |
| Mailing Telephone | 2092223396 |
| Mailing Fax Number | 2092890061 |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2018-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
28058 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619501525 | Michelle Gracie Moreno | Technician | 10125 Frazier Rd, Redding, CA 96003-9241 | 2020-02-29 |
| 1689910614 | Michelle Eugenia Moreno | Licensed Vocational Nurse | 2300 S Lewis St Spc 70, Anaheim, CA 92802-5017 | 2012-12-19 |
| 1710528930 | Michelle Moreno | Technician | 23880 Scarlet Oak Dr, Murrieta, CA 92562-5084 | 2019-09-30 |
| 1184193625 | Michelle Stacy Moreno | Case Manager/Care Coordinator | 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1115 | 2018-11-14 |
| 1538647680 | Michelle Moreno | Counselor | 8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045-3945 | 2018-08-01 |
| 1013426683 | Michelle Elise Moreno | Physician Assistant | 100 E 77th St, New York, NY 10075-1850 | 2017-09-26 |
| 1407223373 | Michelle Moreno | Dental Hygienist | 6 102nd St, Troy, NY 12180-1152 | 2015-08-27 |
| 1174769434 | Michelle Moreno | Family Medicine | 1400 S Arlington St Unit 38, Akron, OH 44306-3771 | 2008-12-16 |
| 1407050362 | Michelle Moreno | Counselor | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2007-06-13 |
| Street Address |
615 13TH ST SUITE B |
| City | MODESTO |
| State | CA |
| Zip Code | 95354-2456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679645089 | Amber Yates | Marriage & Family Therapist | 615 13th St, Suite B, Modesto, CA 95354-2456 | 2006-11-14 |
| 1013349083 | Pete Herron | Marriage & Family Therapist | 615 13th St, Modesto, CA 95354-2456 | 2013-08-01 |
| 1639208499 | Cynthia Ann Borges-o'dell | Marriage & Family Therapist | 615 13th St, Suite B, Modesto, CA 95354-2435 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
| 1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
| 1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
| 1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
| 1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
| 1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
| 1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
| Find all providers in zip 95354 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801379672 | Myriam Cubillo | Social Worker | 2921 Winged Foot Ct, Modesto, CA 95355-9737 | 2018-09-07 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1518205236 | Veronica Renee Tovar | Social Worker | 803 Coffee Rd Ste 10, Modesto, CA 95355-4244 | 2013-01-31 |
| 1649538869 | Maria Guadalupe Rameno | Social Worker | 1604 Ford Ave Ste 2b, Modesto, CA 95350-4649 | 2012-04-25 |
| 1952674947 | Kimberly Wright | Social Worker | 1832 Encina Ave, Modesto, CA 95354-1502 | 2012-02-22 |
| 1083921977 | Michelle Riley | Social Worker | 3340 Tully Rd Ste D4, Modesto, CA 95350 | 2010-09-13 |
| 1124345616 | Jason Lee Paul Wayrynen | Social Worker | 1219 N Carpenter Rd Ste 12, Modesto, CA 95351 | 2010-04-23 |
| 1952626392 | Jennifer Ellen Cooper | Social Worker | 800 Coffee Rd, Modesto, CA 95355-4233 | 2010-03-29 |
| 1063643930 | Jennifer Lee Johnson | Social Worker | 1321 I St Ste 3, Modesto, CA 95354-0902 | 2009-07-27 |
| 1639308547 | Dolores R Covarrubias | Social Worker | 1320 Standiford Ave Ste B, Modesto, CA 95350-0726 | 2009-07-13 |
| Find all providers in MODESTO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.