Individual provider Active NPI

Maria Carolina Rubio-Moore, LCSW

  • Clinical Social Worker
  • Ottawa, IL
National Provider Identifier
1801280052
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149017194 Issued in IL
Practice address
1476 N 3039TH Rd
Ottawa, IL 61350-9032
Phone
(574) 870-1355
NPI assigned
Mar 25, 2015
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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 149017194 IL Primary

Addresses

Primary practice location

1476 N 3039TH Rd
Ottawa, IL 61350-9032

Mailing address

1476 N 3039TH Rd
Ottawa, IL 61350-9032
Phone (574) 870-1355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150415002085 IL Practitioner - Clinical Social Worker 0840518262 Reassigns benefits to 5 organizations
I20250717002337 FL Practitioner - Clinical Social Worker 0840518262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1476 N 3039TH Rd
Ottawa, IL 61350-9032
Phone (574) 870-1355

2650 Ridge Ave
Evanston, IL 60201-1700

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149017194ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Post Acute Care PLLC Clinical CurrentSince Aug 10, 2023 Accepting new patients
Endeavor Health Medical Group CurrentSince Jul 15, 2024 Accepting new patients
CMC Healthcare LLC CurrentSince May 1, 2024 Accepting new patients
A Mindful Space Therapy and Coaching PLLC Clinical CurrentSince Sep 18, 2025 Accepting new patients
Endeavor Health Medical Group CurrentSince Jul 15, 2024 Accepting new patients
Lee Health System Inc CurrentSince Jul 1, 2025 Accepting new patients
Nexumhc Consultants, PLLC Clinical CurrentSince Sep 11, 2025 Accepting new patients
Lee Health System Inc CurrentSince Jul 1, 2025 Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

12801 Westlinks Dr
Ste 103
Fort Myers, FL 33913
Phone (239) 561-5050

2151 Waukegan Rd
Ste 100
Bannockburn, IL 60015
Phone (847) 444-5300

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599

9532 Eagle Way
Chicago, IL 60678

1603 Orrington Ave
Ste 600
Evanston, IL 60201
Phone (773) 234-7246

2201 Main St
Evanston, IL 60202
Phone (847) 905-3000

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

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

704 E Glover St
Ottawa, IL 61350
Phone (815) 431-4900

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, 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": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1801280052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1476 N 3039TH RD",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613509032",
            "telephone_number": "574-870-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1476 N 3039TH RD",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613509032",
            "telephone_number": "574-870-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIO-MOORE",
        "first_name": "MARIA",
        "middle_name": "CAROLINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, IL

Sources for this page

Verify at the official NPI Registry.