Marcus Moore, M.A.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

25 E Washington St Ste 1051
Chicago, IL 60602-1710

Phone

(312) 690-7293

NPI assigned

Mar 10, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mindful Minute Therapy LLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1508683541
  NPD Authorized official
• JL Family Services LTD

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1194189712
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1376178376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 1051",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021710",
            "telephone_number": "312-690-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 1051",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021710",
            "telephone_number": "312-690-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MARCUS",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latasha Moore
• Lena Moore, LSW
• Lexie Rose Moore, OTD
• Lisa A. Moore, M.D.
• Lois B Moore, CNA / CTS
• Margaret Grace Moore, LSW
• Mark Moore, LCPC
• Martina Maria Moore, L.AC.
• Mary Ellen Moore, PH D
• Megan Moore, PA-C

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.