MEDICARE: LAYLA MORENO BSW, LSW

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	104100000X	Social Worker	S.2309331	OH

General Provider Information

NPI Number	:	1801580709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAYLA MORENO BSW, LSW

Provider Business Mailing Address
First Line	:	4330 NAVARRE AVE STE 102
Second Line	:
City	:	OREGON
State	:	OH
Zip	:	43616-3587
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4330 NAVARRE AVE STE 102
Second Line	:
City	:	OREGON
State	:	OH
Zip	:	43616-3587
Country	:	US
Telephone Number	:	419-836-0486
Fax Number	:

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

Provider Enumeration Date	:	06/05/2023
Last Update Date	:	02/24/2026

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