Michelle Lynn Moreno, LGSW
Social Worker in Willmar, MN. Individual provider (NPI-1).
NPI number1194490243
StatusActive
Last updated in NPPESApr 15, 2024
Details
- NPI
- 1194490243
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Michelle Lynn Moreno
- Credential
- LGSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2021
- Certification date
- Apr 15, 2024
- Last updated
- Apr 15, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 24899 | MN | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
2120 60th Ave NeWillmar, MN 56201-9140
Phone 320-905-4345 · Fax 507-218-8492
Mailing address
2120 60th Ave NeWillmar, MN 56201-9140
Phone 320-905-4345 · Fax 507-218-8492
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Social Worker providers in Willmar, MN
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