Individual provider · Type 1 NPI
Reynier Urdaneta Moreno Sr.
Clinical Social Worker · Holt, MI
Practice location
5885 Holt Rd
Holt, MI 48842-8677
Mailing address
407 W Greenlawn Ave
Lansing, MI 48910-2819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 6851122547 (MI) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1063321099
Reynier Urdaneta Moreno Sr.'s National Provider Identifier is 1063321099, issued on Sep 4, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Holt, MI. The record was last updated on Sep 4, 2026.