Individual provider Active NPI

Marcus Moore, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1376178376
Registry record updated Nov 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149027450 Issued in IL
Practice address
333 S Wabash Ave Ste 2700
Chicago, IL 60604-4129
Phone
(773) 219-1080
Fax
(773) 948-7500
NPI assigned
Mar 10, 2020
Last updated
Nov 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149027450 IL Primary

Addresses

Primary practice location

333 S Wabash Ave Ste 2700
Chicago, IL 60604-4129

Mailing address

333 S Wabash Ave Ste 2700
Chicago, IL 60604-4129
Phone (773) 219-1080

Other practice location 1

318 W Adams St Ste 1533
Chicago, IL 60606-5138
Phone (888) 500-2067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
JL Family Services LTD Clinical CurrentSince Apr 6, 2025 Accepting new patients
Mindful Minute Therapy LLC Clinical Current Accepting new patients

Locations

25 E Washington St
Ste 1051
Chicago, IL 60602
Phone (312) 620-9846

333 S Wabash Ave
Ste 2700
Chicago, IL 60604
Phone (312) 519-3907

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793923200000",
    "number": "1376178376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S WABASH AVE STE 2700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044129",
            "telephone_number": "773-219-1080",
            "fax_number": "773-948-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S WABASH AVE STE 2700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044129",
            "telephone_number": "773-219-1080",
            "fax_number": "773-948-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "318 W Adams St Ste 1533",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606065138",
            "country_code": "US",
            "telephone_number": "888-500-2067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MARCUS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-10",
        "last_updated": "2026-11-06",
        "certification_date": "2026-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149027450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2026; 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.