Robin Moore, LCSW is a
Social Worker - Clinical based in Burnham, Illinois. Robin Moore is licensed to practice in Illinois (license number 149017272) and her current practice location is
2700 E State St, 1w, Burnham, Illinois. She can be reached at her office (for appointments etc.) via phone at
(773) 387-7153.
NPI number for Robin Moore is 1376097725 and her current mailing address is 2700 E State St, 1w, Burnham, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376097725.
Healthcare Provider's Profile
| Full Name | Robin Moore |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2700 E State St, Burnham, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376097725
- Provider Enumeration Date: 08/14/2016
- Last Update Date: 08/14/2016
Medical Identifiers
Medical identifiers for Robin Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376097725 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 18692 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149017272 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robin Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Robin Moore, LCSW 2700 E State St, 1w, Burnham, IL 60633-2032 Ph: (773) 387-7153 | Robin Moore, LCSW 2700 E State St, 1w, Burnham, IL 60633-2032 Ph: (773) 387-7153 |
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