Robin Moore, LCSW

Clinical Social Worker · Burnham, IL

Individual Active NPI

NPI number 1376097725

Practice location

2700 E State St
1w
Burnham, IL 60633-2032
Phone
(773) 387-7153

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NPI record

NPI
1376097725
Entity type
Individual (Type 1)
Enumeration date
August 14, 2016
Last updated
August 14, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149017272 IL
Addiction (Substance Use Disorder) Counselor 101YA0400X 18692 IL

About Robin Moore

Robin Moore, LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 2700 E State St, 1w, Burnham, IL 60633-2032. The NPI number 1376097725 was assigned on August 14, 2016 and the record was last updated on August 14, 2016.

Robin Moore lists 2 licenses in the registry: #149017272 (IL) for Clinical Social Worker; #18692 (IL) for Addiction (Substance Use Disorder) Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robin Moore, LCSW?

The NPI number is 1376097725.

What is the phone number of Robin Moore?

The phone number listed for the practice location is (773) 387-7153.

Where is Robin Moore located?

2700 E State St, 1w, Burnham, IL 60633-2032.

What is the taxonomy code for Robin Moore?

The primary taxonomy code is 1041C0700X – Clinical Social Worker; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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