SANDRA MORO LICSWBC NPI 1568541324

NPI Information

  • NPI: 1568541324
  • Provider Name: SANDRA MORO, LICSW,BC
  • Classification: Clinical Nurse Specialist - 364SP0812X
  • Specialization: Psychiatric/Mental Health, Community
  • Entity Type: Individual
  • Address: 345 BLACKSTONE BLVD
    WELD BLDG
    PROVIDENCE, RI
    ZIP 02906
  • Phone: (401) 421-0060

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NPI Details

Sandra Moro, LICSW,BC is a psychiatric/mental health and community clinical nurse specialist in Providence, RI. Sandra Moro, LICSW,BC NPI is 1568541324. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

345 BLACKSTONE BLVD
WELD BLDG
PROVIDENCE, RI
ZIP 02906-800
Phone: (401) 421-0060
Fax: (401) 421-6676

The enumeration date for this NPI number is 11/3/2006 and was last updated on 12/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1364SP0812XClinical Nurse SpecialistPsychiatric/Mental Health, CommunityRN181049MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1899004698MEDICARE ID-TYPE UNSPECIFIED
2P37112MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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