MS. NINA A MORENO (NPI# 1619303906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619303906 |
| Entity Type | Individual |
| Full Name | MS. NINA A MORENO |
| Credential | LCSW |
| Practice Address |
1682 Novato Blvd Ste 105 Novato CA 94947 |
| Mailing Address |
30 Cowbarn Ln Apt 13 Novato CA 94947-5142 |
| Practice Telephone | 4154737812 |
| Mailing Telephone | 4157610595 |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
84536 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1619303906 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861030645 | Nina Maria Moreno | Counselor | 521 Sw 8th Ave, Amarillo, TX 79101-2217 | 2019-12-12 |
| 1710533443 | Nina Moreno | Behavior Technician | 12912 Lexington Summit St, Orlando, FL 32828-4306 | 2019-08-19 |
| 1780074641 | Nina Moreno | Speech-Language Pathologist | 98 Briggs St, Suite 990, San Antonio, TX 78224-1286 | 2015-01-30 |
| 1699822502 | Nina Fahiana Moreno | Psychologist | 1390 Market St, Suite 800, San Francisco, CA 94102-5402 | 2007-01-04 |
| Street Address |
1682 NOVATO BLVD STE 105 |
| City | NOVATO |
| State | CA |
| Zip Code | 94947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407135882 | Rainey Sealey Temkin | Psychologist | 1682 Novato Blvd Ste 105, Novato, CA 94947 | 2011-08-16 |
| 1477172781 | Yazmin Mariana Saddler | Marriage & Family Therapist | 1682 Novato Blvd Ste 105, Novato, CA 94947-0001 | 2020-04-16 |
| 1841787009 | County of Marin | Clinic/Center | 1682 Novato Blvd Ste 105, Novato, CA 94947-7021 | 2018-04-13 |
| 1679081335 | County of Marin | Clinic/Center | 1682 Novato Blvd Ste 105, Novato, CA 94947-7021 | 2018-01-16 |
| 1528448750 | Julie Ann Chua | Counselor | 1682 Novato Blvd Ste 105, Novato, CA 94947-0001 | 2015-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801192786 | Barbara Jean Gosselin | Marriage & Family Therapist | 1748 Novato Blvd Suite 210, Novato, CA 94947 | 2011-02-10 |
| 1659681377 | Karen Ann Murphy | Occupational Therapist | 27 Stasia Dr., Novato, CA 94947 | 2010-10-15 |
| 1154659415 | Christopher Michael Hackett | Chiropractor | 1559 South Novato Blvd., Suite E, Novato, CA 94947 | 2009-11-25 |
| 1003068305 | Suttinee Saguandeekul | Pharmacist | 910 Diablo Ave, Novato, CA 94947 | 2008-10-17 |
| 1891983581 | Shital Gandhi | Radiology | 500 Redwood Blvd Ste 300, Novato, CA 94947 | 2007-10-09 |
| 1356544126 | Victoria Elizabeth Herzog | Marriage & Family Therapist | 1682 Novato Blvd, Suite 250a, Novato, CA 94947 | 2007-06-07 |
| 1912047655 | Michael Craig Corder | Chiropractor | 1553 S Novato Blvd, A2 Corder Chiropractic Office, Novato, CA 94947 | 2007-02-08 |
| 1427106905 | Jacob Kyle Leone | Naturopath | 1748 Novato Blvd, Suite 100, Novato, CA 94947 | 2007-01-08 |
| 1881756401 | Mental Health Management I, Inc. | Psychiatric Residential Treatment Facility | 655 Canyon Road, Novato, CA 94947 | 2006-12-14 |
| 1003995291 | Kim S Frederickson | Dermatology | 400 Professional Center Drive, Suite 414 Novato Dermatology Associates, Novato, CA 94947 | 2006-11-06 |
| Find all providers in zip 94947 | ||||
| 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 |
|---|---|---|---|---|
| 1770121881 | Diane Marie Kaljian | Social Worker | 57 Vivian Ct, Novato, CA 94947-2875 | 2019-12-19 |
| 1457832693 | Marian M Maguire | Social Worker | 1064 Susan Way, Novato, CA 94947-6918 | 2018-08-26 |
| 1619224763 | Kerby Ann Gleeson | Social Worker | 1385 North Hamilton Parkway, Novato, CA 94949 | 2012-08-08 |
| 1295094241 | Stacy Anne Rosenblatt | Social Worker | 1385 North Hamilton Prkway, Novato, CA 94949 | 2012-05-11 |
| 1619155629 | Anne Marie Kambly | Social Worker | 551 Bolling Cir, Novato, CA 94949-6483 | 2008-02-01 |
| 1265643761 | Joan Louise Robinson | Social Worker | 44 Jade Ct, #11, Novato, CA 94945-2324 | 2007-05-25 |
| 1144434663 | Nancy Colleen Garcia | Social Worker | 800 De Long Ave Ste 100, Novato, CA 94945-3252 | 2007-05-10 |
| 1851422927 | Michelle Funez Arteaga | Social Worker | 1399 N Hamilton Pkwy, C/o New Beginnings Center, Novato, CA 94949-8206 | 2007-03-08 |
| 1962563270 | Mark Brand | Social Worker | 314 Conifer Pl, Novato, CA 94945-1108 | 2006-12-12 |
| 1487756110 | Sandra Walsh Devine | Social Worker | 300 Professional Center Dr, Suite 322, Novato, CA 94947-4334 | 2006-09-02 |
| Find all providers in NOVATO | ||||
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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.