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NPI Code Detail

MEDICARE: MRS. APRIL MORENO LCSW-C

MEDICARE: MRS. APRIL MORENO LCSW-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker16057MD

General Provider Information

NPI Number : 1255613279
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. APRIL MORENO LCSW-C
Provider Business Mailing Address
First Line : 2851 JESSUP RD UNIT 504
Second Line :
City : JESSUP
State : MD
Zip : 20794-7524
Country : US
Telephone Number : 443-805-6859
Fax Number :
Provider Business Practice Location Address
First Line : 1009 FREDERICK RD
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-5055
Country : US
Telephone Number : 443-805-6859
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2011
Last Update Date : 01/06/2017

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