JENNIE MORENO (LMSW) – Clinical Social Worker, NPI 1265075477

JENNIE MORENO (LMSW) is a healthcare provider. based in Eaton rapids, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 6801096865 (MI). The NPI Number for JENNIE MORENO (LMSW) is 1265075477

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JENNIE MORENO (LMSW)
NPI
1265075477
Phone
(517) 663-7879
Address
3573 S WAVERLY RD
Enumeration Date
21 October 2019
Last Update Date
11 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5174812133
Graduation Year
2014 (12 years ago)
PAC ID
3577964105
Group Practice PAC ID
2567607062
Professional Enrollment ID
I20210702000443
Address ID
MI488235385EA4572XRDXX444
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

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Provider Addresses for JENNIE MORENO (LMSW)

  • South Waverly Road, Eaton Rapids Township, Eaton County, Michigan, 48827, United States

    EATON RAPIDS, MI 488279799

    Phone: (517) 663-7879

    Type: Mailing

  • 7320 GOLF GATE DR

    LANSING, MI 489178836

    Phone:

    Type: Mailing

  • 4572 S HAGADORN RD STE 1C

    EAST LANSING, MI 488235385

    Phone: (517) 256-5879

    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: 2021-07-02

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

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210702000443IClinical Social WorkerMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour6612$0
View full utilization report →

Insurance plans in this area (ZIP 48827)

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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: 2567607062View full group profile
NameSpecialtyState
-MI
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerFL
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Can I use this page to confirm JENNIE MORENO (LMSW)'s NPI?
Yes. JENNIE MORENO (LMSW) is listed with NPI 1265075477 in the public NPI dataset.
Does the file indicate JENNIE MORENO (LMSW) is practicing under active NPI?
Directory data currently reports JENNIE MORENO (LMSW) as active.
What taxonomy line describes JENNIE MORENO (LMSW)?
For research purposes, treat JENNIE MORENO (LMSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JENNIE MORENO (LMSW)?
JENNIE MORENO (LMSW)'s geographic hint is Eaton Rapids, Michigan in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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