CARLOS MORENO
NPI 1700408432
Social Worker - Clinical in Chula Vista, CA

Q: What is Carlos Moreno's NPI number?

The NPI number for Carlos Moreno is 1700408432. It was assigned to this individual provider in the NPPES registry on May 15, 2020.

Q: What is Carlos Moreno's specialty?

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

Q: Is Carlos Moreno enrolled in Medicare?

No. Carlos Moreno has opted out of Medicare through March 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Carlos Moreno was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since May 15, 2020Opted out of Medicare · through Mar 4, 2028

1196 THIRD AVE, CHULA VISTA, CA 91911(619) 427-4661 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Carlos Moreno NPPES

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

CARLOS MORENO (NPI 1700408432) is an individual clinical provider in Chula Vista, California, licensed in California (LCSW115286) and active in the NPI registry since May 2020. He has opted out of Medicare through March 4, 2028.

NPPES Registry Identity

NPI1700408432

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameCARLOS MORENO

Location Address1196 THIRD AVEChula Vista, CA 91911-3131

Mailing Address1260 Morena Blvd Ste 200San Diego, CA 92110-3850 · (619) 922-9529

Phone(619) 427-4661

Sole ProprietorNo

Enumeration DateMay 15, 2020

Last NPPES UpdateJune 29, 2023

NPPES CertifiedMay 6, 2021

✔ NPI 1700408432 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 · LCSW115286

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.

1196 THIRD AVE, Chula Vista, CA 91911

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Carlos Moreno has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 4, 2026 through March 4, 2028.

Opt-Out Effective DateMarch 4, 2026

Opt-Out In Effect ThroughMarch 4, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

JACKSON RED

Counselor (Mental Health)