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

Miss. Sandra Centeno Moore, LCSW

Individual provider Social Worker · NPI 1558676130

Miss. Sandra Centeno Moore, LCSW is a Clinical Social Worker in Modesto, California. Qualified in 2008, 18 years ago. Practices with Family First Medical Care a Professional Corporation, a 17-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2010
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

1317 Oakdale Rd Ste 100
Modesto, CA 95355-3362
Phone: (209) 522-3362
Fax: (209) 522-3363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 27931 (CA)

Record details

NPI number1558676130
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 8, 2010
Last updated in NPPESMarch 4, 2022
Certification dateMarch 4, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Family First Medical Care A Professional Corporation — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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