Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TAVARES MOORE
ActiveMR. TAVARES MOORE is a Clinical Social Worker healthcare provider located in ROCKFORD, Illinois. NPI 1033627526 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · ROCKFORD, IL
Registration Details
- NPI Number
- 1033627526
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2018 (8.5520770814789 yrs)
- Last Updated
- Jan 26, 2023
- Licenses
-
149.015884 (IL)149015884 (IL)
Practice Information
- Address
-
816 FEATHERSTONE RDROCKFORD, IL, 611076300Browse IL providers · Browse ZIP 61107
- Phone
- 8152270081
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in ROCKFORD, IL
| Name | Credential | NPI |
|---|---|---|
| MISS MARCY L TUREK | LCSW | 1013994789 |
| MRS. SHARON ANN OCKERLANDER | MSW | 1538149273 |
| MR. JAMES ROBERT DAVIES | LCSW | 1235103730 |
| MS. LAURA LYNN ALLMAN | LCSW | 1881661023 |
| MR. DANIEL SOMMER | LCSW | 1265470496 |
| MRS. BARBARA HALLSTROM | MSW/LCSW | 1154360758 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.