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Contact Information

MIGUEL A MORENO LOPEZ, MSW, LCSW, NCICS
31946 MISSION TRL STE B
LAKE ELSINORE, CA92530
 Phone: 951-471-4300
 Fax: 951-674-6431
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Case Manager/Care Coordinator

171M00000X
 

Mental Health

101YM0800X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for MIGUEL A MORENO LOPEZ · (Male)

NPI Number 1124487988
Status Active
Credentials MSW, LCSW, NCICS
Entity Individual
Enumeration date 02/22/2016
Last updated 04/10/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 121978
  • CA License # 95128
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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