MEDICARE: ANA KAREN MORENO LCSW

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
1	1041C0700X	Clinical Social Worker	138727	CA

General Provider Information

NPI Number	:	1265289383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA KAREN MORENO LCSW

Provider Business Mailing Address
First Line	:	16714 CRANBROOK AVE
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90504-1210
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2009 PALO VERDE AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90815-3322
Country	:	US
Telephone Number	:	562-794-7008
Fax Number	:	562-632-5192

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2024
Last Update Date	:	06/02/2026

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