Andrea Moore
Clinical Social Worker · Calumet Park, IL
Practice location
12446 S Loomis StCalumet Park, IL 60827-5832
- Phone
- (773) 641-7095
NPI record
- NPI
- 1578010435
- Entity type
- Individual (Type 1)
- Enumeration date
- September 7, 2016
- Last updated
- September 7, 2016
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Social Worker Primary | 1041C0700X |
149.016158 | IL |
Mailing address
PO Box 53529Chicago, IL 60653-0529
- Phone
- (773) 641-7095
About Andrea Moore
Andrea Moore is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 12446 S Loomis St, Calumet Park, IL 60827-5832. The NPI number 1578010435 was assigned on September 7, 2016 and the record was last updated on September 7, 2016.
Andrea Moore lists a license in the registry: #149.016158 (IL) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Andrea Moore?
The NPI number is 1578010435.
What is the phone number of Andrea Moore?
The phone number listed for the practice location is (773) 641-7095.
Where is Andrea Moore located?
12446 S Loomis St, Calumet Park, IL 60827-5832.
What is the taxonomy code for Andrea Moore?
The primary taxonomy code is 1041C0700X – Clinical Social Worker.
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.