DEIRDRE MARIE MORENO
NPI 1871911792
Social Worker - Clinical in San Dimas, CA

Q: What is Deirdre Moreno's NPI number?

The NPI number for Deirdre Moreno is 1871911792. It was assigned to this individual provider in the NPPES registry on March 29, 2014.

Q: What is Deirdre Moreno's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Deirdre Moreno was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 29, 2014PECOS EnrolledAccepts Medicare Assignment

762 CYPRESS ST, SAN DIMAS, CA 91773(909) 599-1227 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 6, 2022, Jul 21, 2021, May 4, 2019 and 3 more (6 updates tracked since 2017).

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About Deirdre Marie Moreno NPPES

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

DEIRDRE MARIE MORENO (NPI 1871911792) is an individual clinical provider in San Dimas, California, licensed in California (101112) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fontana, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1871911792

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameDEIRDRE MARIE MORENO

Location Address762 CYPRESS STSan Dimas, CA 91773-3505

Mailing Address762 Cypress StSan Dimas, CA 91773-3505 · (909) 599-1227

Phone(909) 599-1227

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 29, 2014

Last NPPES UpdateJanuary 6, 20226 updates tracked since enumeration

NPPES CertifiedJuly 21, 2021

✔ NPI 1871911792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 101112

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License ASW77472 (CA)

Also ListedSocial WorkerTaxonomy 104100000X · License ASW77472 (CA)

762 CYPRESS ST, San Dimas, CA 91773

Open in Google Maps ↗

Secondary Practice Location 1

Location 114677 Merrill AveFontana, CA 92335-4219 · Phone (951) 643-2340

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Deirdre Marie Moreno is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769855980

PECOS Enrollment IDI20230308001849

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.

Medicare Billing Reassignments

Medicare enrollment records show Deirdre Moreno reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group

6.8 mi

Clinical Medical Laboratory

13000 PEYTON DR
Chino Hills, CA 91709

Reassigned Medicare billing, California enrollment
5,228 clinicians in this Medicare group

NPI 1396287082 (888) 750-0036

Quest Health Management Psychological Corporation

9.2 mi

Community/Behavioral Health

4110 EDISON AVE STE 206A
Chino, CA 91710

Reassigned Medicare billing, California enrollment
52 clinicians in this Medicare group

NPI 1245791490 (951) 454-5577

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91773 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 $62.96 – $187.60

Typical copayment $0.00 (range $15.74 – $46.90)

Most-billed visit code NA

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

MAYRA AMIGON

Case Manager/Care Coordinator