MR. JEFF RYAN MORENO (L.C.S.W.) – Clinical Social Worker, NPI 1083983514

Clinical Social Worker

MR. JEFF RYAN MORENO (L.C.S.W.) is a healthcare provider. based in Nampa, Idaho. specializing in Clinical Social Worker. They hold the professional credentials L.C.S.W.. They hold a License No. LCSW-31828 (ID). The NPI Number for MR. JEFF RYAN MORENO (L.C.S.W.) is 1083983514

Main info

Male

Sole Proprietor

20 Years Of Experience

Name

MR. JEFF RYAN MORENO (L.C.S.W.)

NPI

1083983514

Phone

(208) 639-1514

Address

923 16TH AVE S

Enumeration Date

29 December 2011

Last Update Date

20 July 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2085708894

Graduation Year

2006 (20 years ago)

PAC ID

4981917341

Group Practice PAC ID

5193038552

Professional Enrollment ID

I20150720003078

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for MR. JEFF RYAN MORENO (L.C.S.W.)

923 16TH AVE S
NAMPA, ID 836514731
Phone: (208) 639-1514
Fax: (208) 639-2301
Type: Mailing
5700 E FRANKLIN RD STE 250
NAMPA, ID 836877902
Phone: (208) 570-8894
Type: Mailing
5700 E Franklin Rd Ste 250
Nampa, ID 836877902
Phone: (208) 570-8894
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-07-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20150720003078	I	Clinical Social Worker	ID	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83651)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 5193038552View full group profile

Name	Specialty	State
JESSICA CHILCOTT (LCSW)	-	ID
RICK A HEIKKILA (LCSW)	-	ID

Reviews

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Frequently asked questions

How do payers reference MR. JEFF RYAN MORENO (L.C.S.W.)?

For MR. JEFF RYAN MORENO (L.C.S.W.), use NPI 1083983514 as the unique 10-digit identifier.

Would MR. JEFF RYAN MORENO (L.C.S.W.) appear as active to a payer?

You can treat MR. JEFF RYAN MORENO (L.C.S.W.) as active for directory purposes; confirm clinical privileges separately.

How would a patient describe MR. JEFF RYAN MORENO (L.C.S.W.)'s focus?

For MR. JEFF RYAN MORENO (L.C.S.W.), the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.

What locale is associated with MR. JEFF RYAN MORENO (L.C.S.W.)?

Directory geography for MR. JEFF RYAN MORENO (L.C.S.W.) centers on Nampa, Idaho.

Can I trust this NPI listing for MR. JEFF RYAN MORENO (L.C.S.W.)?

The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.