Individual provider · Type 1 NPI

Michelle Moreno, LCSW

Clinical Social Worker · Modesto, CA

NPI number 1710241310 Active

Practice location

615 13th St, Suite B
Modesto, CA 95354-2456

Fax (209) 289-0061

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X28058 (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 1710241310

Michelle Moreno, LCSW's National Provider Identifier is 1710241310, issued on Jun 28, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Modesto, CA. The record was last updated on Apr 6, 2026.