MR. JEFFREY RYAN MORENO (NPI# 1083983514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083983514 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY RYAN MORENO |
| Credential | L.C.S.W. |
| Practice Address |
5700 E Franklin Rd Ste 250 Nampa ID 83687-7902 |
| Practice Telephone | 2085708894 |
| Mailing Telephone | 2085708894 |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2015-02-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-31828 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922192467 | Jeffrey Moreno | Physical Therapist | 200 North Robertson, Suite 301, Beverly Hills, CA 90211 | 2006-10-02 |
| 1740843895 | Jeffrey Edward Moreno | Speech-Language Pathologist | 23845 Mcbean Pkwy, Valencia, CA 91355-2001 | 2019-04-15 |
| Street Address |
5700 E FRANKLIN RD STE 250 |
| City | NAMPA |
| State | ID |
| Zip Code | 83687-7902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558817981 | Kimberly Cordero | Social Worker | 5700 E Franklin Rd Ste 250, Nampa, ID 83687-7902 | 2016-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307447 | Current Physical Therapy Nampa LLC | Physical Therapist | 16150 N High Desert Street, Nampa, ID 83687 | 2020-02-10 |
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1750828513 | Daniel & Max, LLC | Optometrist | 1600 Karcher Rd, Nampa, ID 83687 | 2017-01-31 |
| 1578965422 | Jorge Domingo Reyes | Counselor | 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 | 2014-09-23 |
| 1619302080 | David Lyle Farris | Dentist | 16548 North Franklin Blvd., Nampa, ID 83687 | 2013-09-04 |
| 1871934547 | Ian Zafar Qureshi | Internal Medicine | 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 | 2013-07-10 |
| 1457696783 | Laurel Evans | Specialist/Technologist | 850 W. St. Luke's Dr., Suite 215, Nampa, ID 83687 | 2012-11-27 |
| 1750641197 | Andrea Patricia Fitzer | Nurse Practitioner | 4400 E. Flamingo Ave, Nampa, ID 83687 | 2012-05-18 |
| 1679846182 | Ivony Case Management | Case Management | 811 12th Street, Ste. 2, Nampa, ID 83687 | 2012-02-14 |
| 1699043679 | Saltzer Medical Group, P.a. | Durable Medical Equipment & Medical Supplies | 9850 W St Lukes Drive, Nampa, ID 83687 | 2011-12-06 |
| Find all providers in zip 83687 | ||||
| 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 |
|---|---|---|---|---|
| 1912542184 | Angela Smith | Social Worker | 1305 2nd St S Ste 201, Nampa, ID 83651-3964 | 2019-11-12 |
| 1770946691 | April Knie Auker | Social Worker | 620 W Boone Ave, Nampa, ID 83651-1903 | 2016-03-29 |
| 1346600723 | Lisa Harrison | Social Worker | 407 N Sherwood Dr, Nampa, ID 83651-1865 | 2016-02-29 |
| 1902203755 | Deanna Mae Mullins | Social Worker | 1170 E Sharons Way Apt 104, Nampa, ID 83686-6059 | 2014-11-21 |
| 1427490721 | Kimberly Trehal | Social Worker | 2515 Klamath Ct, Nampa, ID 83686-7935 | 2013-07-27 |
| 1952642985 | Robert L Condon | Social Worker | 1023 Augusta Dr, Nampa, ID 83686-2863 | 2013-03-15 |
| 1295076347 | Leann Rene Stensgaard | Social Worker | 2404 S Morning Sun Ct, Nampa, ID 83686-4918 | 2013-03-13 |
| 1194078139 | Nicole Scott | Social Worker | 1002 W Sanetta St, Nampa, ID 83651-5047 | 2012-10-15 |
| 1205121084 | Jeri Lyn Perkins | Social Worker | 1603 12th Ave Rd Ste B, Nampa, ID 83686 | 2011-06-09 |
| 1114222064 | Andrea Michele Emmons | Social Worker | 847 Park Centre Way Ste. 4, Core Counseling Center, Nampa, ID 83646 | 2011-01-24 |
| Find all providers in NAMPA | ||||
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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.