Individual provider · Type 1 NPI
Cicely Moreno, MD
Addiction Medicine (Family Medicine) Physician · Niles, MI
NPI number
1285171827
Active
Practice location
4 Longmeadow Village Dr
Niles, MI 49120-7809
Other practice locations
- 6418 Deans Hill Rd, Berrien Center, MI 49102-8713 · (269) 815-5500
- 42 N Saint Joseph Ave Ste 300, Niles, MI 49120-2203 · (269) 687-1126
- 133 W Main St, Benton Harbor, MI 49022-3607 · (269) 408-2258
- 1234 Napier Ave, St. Joseph, MI 49085-2112 · (269) 982-4941
- 5043 E 81st Ave, Merrillville, IN 46410-5912 · (219) 707-5276
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | 4301509637 (MI) |
| Family Medicine Physician | 207Q00000X | 01083223A (IN) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
10 other providers at this address
- Lakeland Family Care of NilesFamily Medicine Physician Niles, MI NPI 1649432980
- Lakeland Medical PracticesClinic/Center Niles, MI NPI 1629397534
- Lakeland Medical PracticesClinic/Center Niles, MI NPI 1801116785
- Alexandria Caroline Roden, MDFamily Medicine Physician Niles, MI NPI 1013470178
- Ellen Tambunan, MDFamily Medicine Physician Niles, MI NPI 1235102823
- John W. Howard, MDFamily Medicine Physician Niles, MI NPI 1205090065
- Max Schaefer, DOFamily Medicine Physician Niles, MI NPI 1922590652
- Raul Hector Torres Iii, D.OFamily Medicine Physician Niles, MI NPI 1982041620
- Rosa Lee Johnson, DOFamily Medicine Physician Niles, MI NPI 1003981176
- Tracy J. Tacket, DOFamily Medicine Physician Niles, MI NPI 1487775847
About NPI 1285171827
Cicely Moreno, MD's National Provider Identifier is 1285171827, issued on Jan 20, 2017. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Niles, MI. The record was last updated on Jan 16, 2026.