Maricela Ibeth Moreno, is a
Social Worker - Clinical based in Los Angeles, California. Maricela Ibeth Moreno is licensed to practice in California (license number LCSW122270) and her current practice location is
3303 N Broadway, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(323) 478-8200.
NPI number for Maricela Ibeth Moreno is 1902455587 and her current mailing address is 3303 N Broadway, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902455587.
Healthcare Provider's Profile
| Full Name | Maricela Ibeth Moreno |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 3303 N Broadway, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902455587
- Provider Enumeration Date: 09/06/2019
- Last Update Date: 05/02/2024
Medical Identifiers
Medical identifiers for Maricela Ibeth Moreno such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902455587 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | ACSW102897 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | ASW102897 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW122270 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maricela Ibeth Moreno is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Maricela Ibeth Moreno,
3303 N Broadway,
Los Angeles, CA 90031-2803
Ph: (323) 478-8200 | Maricela Ibeth Moreno,
3303 N Broadway,
Los Angeles, CA 90031-2803
Ph: (323) 478-8200 |
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