Individual provider · Type 1 NPI
Blake Michael Moreno
Clinical Social Worker · Chino Hills, CA
Practice location
17831 Autry Ct
Chino Hills, CA 91709-3281
Mailing address
762 Cypress St
San Dimas, CA 91773-3505
Other practice locations
- 6700 Indiana Ave Ste 280, Riverside, CA 92506-4265 · (909) 444-5140
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 115717 (CA) |
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 1174956650
Blake Michael Moreno's National Provider Identifier is 1174956650, issued on Aug 19, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chino Hills, CA. The record was last updated on Jul 18, 2023.