ESTIVALY MORENO I LCSW
NPI 1639615982
Social Worker - Clinical in San Francisco, CA

Active since January 10, 2017PECOS Enrolled
755 S VAN NESS AVE, SAN FRANCISCO, CA 94110(415) 642-4513 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2026, Aug 11, 2023, Oct 23, 2017 and 1 more (4 updates tracked since 2017).

About Estivaly Moreno I Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ESTIVALY MORENO I LCSW (NPI 1639615982) is an individual clinical provider in San Francisco, California, licensed in California (138384) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639615982
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameESTIVALY MORENO ICredential: LCSW
Location Address755 S VAN NESS AVESan Francisco, CA 94110-1908
Mailing Address755 S Van Ness AveSan Francisco, CA 94110-1908 · (415) 642-4513 · Fax (415) 695-6961
Sole ProprietorNo
Enumeration DateJanuary 10, 2017
Last NPPES UpdateMay 20, 20264 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
NPI 1639615982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 138384
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
755 S VAN NESS AVE, San Francisco, CA 94110

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Estivaly Moreno I Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $69.00 – $202.35
Typical copayment $0.00 (range $17.25 – $50.58)
Most-billed visit code NA
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
755 S VAN NESS AVE
SAN FRANCISCO, CA 94110
Social Worker (Clinical)
755 S VAN NESS AVE
SAN FRANCISCO, CA 94110
Social Worker (Clinical)
755 S VAN NESS AVE
SAN FRANCISCO, CA 94110
Social Worker (Clinical)
755 S VAN NESS AVE
SAN FRANCISCO, CA 94110
Marriage & Family Therapist
755 S VAN NESS AVE
SAN FRANCISCO, CA 94110
Specialist
755 S VAN NESS AVE
SAN FRANCISCO, CA 94110
Day Training/Habilitation Specialist
755 S VAN NESS AVE
SAN FRANCISCO, CA 94110
Psychologist
755 S VAN NESS AVE
SAN FRANCISCO, CA 94110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Estivaly Moreno's NPI number?

The NPI number for Estivaly Moreno is 1639615982. It was assigned to this individual provider in the NPPES registry on January 10, 2017.

Where is Estivaly Moreno located?

Estivaly Moreno practices at 755 S Van Ness Ave, San Francisco, CA 94110. The listed phone number is (415) 642-4513.

What is Estivaly Moreno's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Estivaly Moreno enrolled in Medicare?

Yes. Estivaly Moreno is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Estivaly Moreno was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.