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NPI Code Detail

MEDICARE: LAKEYCHA SHERICE MORENO LMSW

MEDICARE: LAKEYCHA SHERICE MORENO LMSW
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 Worker106685TX

General Provider Information

NPI Number : 1164127692
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAKEYCHA SHERICE MORENO LMSW
Provider Business Mailing Address
First Line : 9737 AMBERTON PKWY APT 1065
Second Line :
City : DALLAS
State : TX
Zip : 75243-2010
Country : US
Telephone Number : 517-763-7318
Fax Number :
Provider Business Practice Location Address
First Line : 9737 AMBERTON PKWY APT 1065
Second Line :
City : DALLAS
State : TX
Zip : 75243-2010
Country : US
Telephone Number : 517-763-7318
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2023
Last Update Date : 02/27/2026

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Directions to “ LAKEYCHA SHERICE MORENO LMSW” Practice Location

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