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

Estivaly Moreno I, LCSW

Individual provider Clinical Social Worker · NPI 1639615982

Estivaly Moreno I, LCSW is a Clinical Social Worker in San Francisco, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

755 S Van Ness Ave
San Francisco, CA 94110-1908
Phone: (415) 642-4513
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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 138384 (CA)

Record details

NPI number1639615982
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 10, 2017
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

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