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

Deirdre Marie Moreno

Individual provider Mental Health Counselor · NPI 1871911792

Deirdre Marie Moreno is a Clinical Social Worker in San Dimas, California. Qualified in 2017, 9 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

762 Cypress St
San Dimas, CA 91773-3505
Phone: (909) 599-1227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14677 Merrill Ave, Fontana, CA 92335-4219 — (951) 643-2340

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 101112 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence ASW77472 (CA)
Social Worker Taxonomy 104100000X · Licence ASW77472 (CA)

Record details

NPI number1871911792
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 29, 2014
Last updated in NPPESJanuary 6, 2022
Certification dateJuly 21, 2021
Mailing address762 Cypress St, San Dimas, CA 91773-3505

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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