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

Mr. Blake Michael Moreno

Individual provider Clinical Social Worker · NPI 1174956650

Mr. Blake Michael Moreno is a Clinical Social Worker in Chino Hills, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2013
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

17831 Autry Ct
Chino Hills, CA 91709-3281
Phone: (951) 444-5140
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6700 Indiana Ave Ste 280, Riverside, CA 92506-4265 — (909) 444-5140

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 115717 (CA)

Record details

NPI number1174956650
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 19, 2013
Last updated in NPPESJuly 18, 2023
Certification dateJuly 18, 2023

Other providers in Chino Hills