Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anita Moreno, LISW

Individual provider Clinical Social Worker · NPI 1649309006

Anita Moreno, LISW is a Clinical Social Worker in Jacksonville, Florida. Qualified in 1993, 33 years ago. Accepts Medicare assignment. Licensed in Florida and Ohio.

Years since qualifying
33
Licensed in
FL, OH
In the registry since
2007
Specialties on file
2
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486
Phone: (904) 337-9003
Fax: (904) 485-8704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW16286 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence I7599 (OH)

Record details

NPI number1649309006
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorNo
NPI enumeratedMarch 3, 2007
Last updated in NPPESFebruary 26, 2020
Certification dateFebruary 26, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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