MRS. EDITH ABIGAIL MORENO


Address: 1600 Sutter Pl, Clovis, NM 88101-4611
Phone: 5757694490

MRS. EDITH ABIGAIL MORENO (NPI# 1265082663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265082663
Entity Type Individual
Full Name MRS. EDITH ABIGAIL MORENO
Credential PLBSW
Practice Address 1600 Sutter Pl
Clovis
NM 88101-4611
Mailing Address Po Box 19000
Clovis
NM 88102-9000
Practice Telephone 5757694490
Practice Fax Number 5757694330
Mailing Telephone 5757694490
Mailing Fax Number 5757694330
Enumeration Date 2019-09-17
Last Update Date 2019-09-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041S0200X Social Worker
Specialization: School
X-11154 NM Behavioral Health & Social Service Providers

Other Providers EDITH MORENO

NPI Name Taxonomy Address Enumeration
1487953337 Edith Y Moreno Counselor 614 Tully Rd, San Jose, CA 95111-1048 2011-03-17

Office Location

Street Address 1600 SUTTER PL
City CLOVIS
State NM
Zip Code 88101-4611

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215032784 John Lester Collins Psychologist 1600 Sutter Pl, Clovis, NM 88101-4611 2006-09-13
1467051060 Audrey G Lietzke Registered Nurse 1600 Sutter Pl, Clovis, NM 88101-4611 2020-10-23
1245839927 Ofelma Soto Navarro Registered Nurse 1600 Sutter Pl, Clovis, NM 88101-4611 2020-10-22
1801495577 Diane Amanda Lukkar Registered Nurse 1600 Sutter Pl, Clovis, NM 88101-4611 2020-10-22
1992304679 Chelsey Lane Pena Registered Nurse 1600 Sutter Pl, Clovis, NM 88101-4611 2020-10-22
1255930939 Keitta Christine Torres Registered Nurse 1600 Sutter Pl, Clovis, NM 88101-4611 2020-10-22
1154928604 Angela N Lutz Psychologist 1600 Sutter Pl, Clovis, NM 88101-4611 2020-10-07
1366049470 Ashley N Curtis Registered Nurse 1600 Sutter Pl, Clovis, NM 88101-4611 2020-10-02
1760099006 Rozalyn Nicole Cox Social Worker 1600 Sutter Pl, Clovis, NM 88101-4611 2020-09-30
1730710468 Amy Laing Registered Nurse 1600 Sutter Pl, Clovis, NM 88101-4611 2020-01-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134748692 Patrick James Scollon Military Health Care Provider 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 2020-04-14
1285274878 Keishla Cota Physical Therapist 100 East Manana Blvd, Unit 1, Clovis, NM 88101 2020-01-10
1659927283 Ndeye Ndour Nurse Anesthetist, Certified Registered 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 2019-08-09
1679132468 Justine Nicole Nunez Nurse Practitioner 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 2019-06-06
1518453521 Moore Psychological Services, Pllc Social Worker 1908 West 21st Street, Clovis, NM 88101 2018-07-03
1912494006 Raesha Russell Behavior Technician 214 West 9th St, Clovis, NM 88101 2018-04-16
1013425800 Vanessa Yardley Registered Nurse 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 2018-01-16
1699204230 Olivia Garcia Technician, Other 1100 W 21st Street, Clovis, NM 88101 2017-06-07
1578006250 Mary Ellen Gray Technician, Other 9408 B Vermont Court, Clovis, NM 88101 2016-11-29
1205296977 Malaney Harmon Behavioral Analyst 2700 E 7th St., Clovis, NM 88101 2016-02-24
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Taxonomy Information

Taxonomy Code 1041S0200X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609111434 Sabrina Marie Dequattro Social Worker 100 Fowler Ave, #156, Clovis, CA 93611-0678 2012-12-05
1760099006 Rozalyn Nicole Cox Social Worker 1600 Sutter Pl, Clovis, NM 88101-4611 2020-09-30
1366093064 Enrique Fernando Urioste Social Worker 1600 Sutter Pl, Clovis, NM 88101-4611 2019-09-24
1205487907 Sorina Renee Flores Social Worker 1600 Sutter Pl, Clovis, NM 88101-4611 2019-09-24
1528619665 Carly Martinez Voloto Social Worker 1600 Sutter Pl, Clovis, NM 88101-4611 2019-09-20
1669023776 Christina Sharon Bensfield Social Worker 1600 Sutter Pl, Clovis, NM 88101-4611 2019-09-20
1942850193 Janice Angelica Martinez Social Worker 1600 Sutter Pl, Clovis, NM 88101-4611 2019-09-18
1568012870 Seth Sebastian Baker Social Worker 1600 Sutter Pl, Clovis, NM 88101-4611 2019-09-18
1942768601 Alexandra Nichole Penland Social Worker 1600 Sutter Pl, Clovis, NM 88101-4611 2019-03-12
1952875536 Nichole A Olguin Social Worker 1600 Sutter Pl, Clovis, NM 88101-4611 2019-01-16
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Competitor

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City CLOVIS
Zip Code 88101

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Dataset Information

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.

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