Individual provider Active NPI

Aron Moore

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1730898370
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149025686 Issued in IL
Practice address
820 Foster St
Evanston, IL 60201-3212
Phone
(773) 887-6150
NPI assigned
Nov 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Social Worker 104100000X
Clinical Social Worker 1041C0700X 149025686 IL Primary

Addresses

Primary practice location

820 Foster St
Evanston, IL 60201-3212

Mailing address

6134 N Bernard St
Chicago, IL 60659-2212
Phone (732) 330-6304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230703002254 IL Practitioner - Clinical Social Worker 2264805399 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nexumhc Consultants, PLLC Social Worker CurrentSince May 16, 2023 Accepting new patients
Nexumhc NM Clinical PastSince Nov 5, 2024 Accepting new patients
Nexumhc Ga PastSince Nov 5, 2024 Accepting new patients
Nexum HC Co PLLC PastSince May 13, 2025 Accepting new patients
Nexum HC CT PLLC PastSince Jan 1, 2025 Accepting new patients
Nexumhc Mo PastSince Nov 5, 2024 Accepting new patients
Nexumhc TX LLC PastSince Nov 1, 2023 Accepting new patients
Nexumhc Consultants, PLLC Past Accepting new patients

Locations

7373 N Lincoln Ave
Ste 400
Lincolnwood, IL 60712
Phone (219) 805-3593

7373 N Lincoln Ave
Lincolnwood, IL 60712
Phone (773) 887-6150

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1730898370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6134 N BERNARD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592212",
            "telephone_number": "732-330-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 FOSTER ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013212",
            "telephone_number": "773-887-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ARON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-22",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149025686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.