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NPI 1205629656

Jesus Moreno

Social Worker, Clinical · Salt Lake City, UT

Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 15, 2026, 4:41 am EDT

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Jesus Moreno is a health care provider (Social Worker, Clinical) in Salt Lake City, Utah with National Provider Identifier (NPI) 1205629656. The NPI was issued on May 28, 2025 and the registry record was last updated on May 28, 2025. The registry lists a license in Utah.

Registry record

NPI
1205629656
Type
Individual (NPI-1), sole proprietor
Primary specialty
Social Worker, Clinical 1041C0700X
Practice location
117 W 400 S
Salt Lake City, UT 84101-1916
Phone
(801) 428-4257
NPI issued
May 28, 2025
Registry record updated
May 28, 2025

Specialties and licenses

SpecialtyTaxonomy codeLicense stateLicense
Social Worker, Clinical Primary1041C0700XUtah8710926-3502

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Clinical Social Worker providers in Utah

Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.