ANDREA MOORE (NPI# 1578010435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578010435 |
| Entity Type | Individual |
| Full Name | ANDREA MOORE |
| Practice Address |
12446 S Loomis St Calumet Park IL 60827-5832 |
| Mailing Address |
Po Box 53529 Chicago IL 60653-0529 |
| Practice Telephone | 7736417095 |
| Mailing Telephone | 7736417095 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149.016158 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174147409 | Andrea Moore | Counselor | 428 Dela Vina Ave Apt 212, Monterey, CA 93940-3933 | 2020-06-02 |
| 1356991764 | Andrea Moore | Massage Therapist | 12308 E Broadway Ave Ste 4, Spokane Valley, WA 99216-2920 | 2019-09-17 |
| 1306403571 | Andrea Moore | Speech-Language Pathologist | 905 Ellis Ave, Orangeburg, SC 29115-5062 | 2019-05-23 |
| 1134610496 | Andrea Moore | Physical Therapist | 31555 Southfield Rd, Beverly Hills, MI 48025-5461 | 2018-05-22 |
| 1619399946 | Andrea Moore | Speech-Language Pathologist | 5477 Sweetwater Ln, Bartlett, TN 38135-8244 | 2014-01-06 |
| 1972844678 | Andrea Graham Moore | Speech-Language Pathologist | 901 W Baker Rd, Baytown, TX 77521-2398 | 2013-03-06 |
| 1134408990 | Andrea Christine Moore | Registered Nurse | 25 Warwick St, Auburn, MA 01501-2631 | 2011-08-11 |
| 1730468844 | Andrea Sue Moore | Licensed Practical Nurse | 1669 Moon Rd, Greenfield, OH 45123-8227 | 2011-08-06 |
| 1598087488 | Andrea Bernice Moore | Counselor | 2407 Nw 22nd St Apt C, Lawton, OK 73505-2232 | 2010-02-19 |
| 1346484144 | Andrea Jean Moore | Psychiatry & Neurology | 3000 Nw Stucki Pl Ste 150, Hillsboro, OR 97124-7108 | 2009-04-23 |
| Street Address |
12446 S LOOMIS ST |
| City | CALUMET PARK |
| State | IL |
| Zip Code | 60827-5832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942759758 | Lanette Newman | Driver | 14411 S Lasalle St, Riverdale, IL 60827 | 2016-09-22 |
| 1053771519 | Klr Transport LLC | Non-emergency Medical Transport (VAN) | 14241 Stewart Ave, Riverdale, IL 60827 | 2016-02-26 |
| 1487998316 | Sherry Coleman | Counselor | 1007 West 123rd Street, Calumet Park, IL 60827 | 2012-11-15 |
| 1275756850 | Bruce Michael Cable | Dentist | 100 W 144th St, Riverdale, IL 60827 | 2007-04-11 |
| 1548377716 | Lolita A Wilburn | Chiropractor | 12647 S Justine, Calumet Park, IL 60827 | 2006-08-24 |
| 1598720088 | Infinite Imaging Inc | Clinic/Center | 1029 E 30th St, Chicago, IL 60827 | 2006-04-19 |
| 1194000299 | Neal's Transportation | Non-emergency Medical Transport (VAN) | 13401 S Halsted St, Riverdale, IL 60827-1121 | 2011-10-20 |
| 1982048526 | Denise Simpson | Occupational Therapy Assistant | 13751 S Lowe Ave, Riverdale, IL 60827-1188 | 2013-04-25 |
| 1144883943 | Kenika Lionta Carter | Developmental Therapist | 13246 S Praire Av, Chicago, IL 60827-1246 | 2019-04-17 |
| 1164897302 | Helping Hands Enterprises LLC | Non-emergency Medical Transport (VAN) | 13246 S Langley Ave, Chicago, IL 60827-1336 | 2015-12-13 |
| Find all providers in zip 60827 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851241 | Courtney A Behrens | Social Worker | 150 Deerpath Rd, Algonquin, IL 60102-1861 | 2020-11-06 |
| 1801497623 | Sedulous Counseling & Consulting Services Pllc | Social Worker | 15255 S 94th Ave # 508, Orland Park, IL 60462-3800 | 2020-11-06 |
| 1295336022 | Web Healing Collective Pllc | Social Worker | 6207 N Springfield Ave, Chicago, IL 60659-1015 | 2020-11-06 |
| 1174124036 | Reginald Washington Edwards | Social Worker | 18660 Walnut Ave, Country Club Hills, IL 60478-5549 | 2020-11-05 |
| 1881295186 | Belva Marie Dibert | Social Worker | 6330 S Ingleside Ave Apt 3, Chicago, IL 60637-5784 | 2020-11-03 |
| 1801496468 | Monica Dushane | Social Worker | 125 N Buffalo Grove Rd Apt 110, Buffalo Grove, IL 60089-1722 | 2020-10-31 |
| 1528668373 | Stephanie Caballero Novak | Social Worker | Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1598365488 | Karyssa Lee Haase | Social Worker | 745 E Court St, Paris, IL 61944-2460 | 2020-10-29 |
| 1699375592 | Andrea Doherty | Social Worker | 526 Keystone Ave, River Forest, IL 60305-1612 | 2020-10-29 |
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | CALUMET PARK |
| Zip Code | 60827 |
Please comment or provide details below to improve the information on ANDREA MOORE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.