Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA MOORE
Active Sole ProprietorANDREA MOORE is a Clinical Social Worker healthcare provider located in CALUMET PARK, Illinois. NPI 1578010435 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · CALUMET PARK, IL
Registration Details
- NPI Number
- 1578010435
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 7, 2016 (9.9205466795554 yrs)
- Last Updated
- Sep 7, 2016
- License
-
149.016158 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12446 S LOOMIS STCALUMET PARK, IL, 608275832Browse IL providers · Browse ZIP 60827
- Phone
- 7736417095
- Primary Specialty
-
Clinical Social Worker
1041C0700X
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.