Andrea Moore
Andrea Moore is a Clinical Social Worker in Calumet Park, Illinois. Qualified in 2002, 24 years ago. Practices with Vitae Health Medical Illinois, PLLC, a 215-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 24
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
12446 S Loomis StCalumet Park, IL 60827-5832
Phone: (773) 641-7095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 149.016158 (IL) |
|---|
Record details
| NPI number | 1578010435 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 7, 2016 |
| Last updated in NPPES | September 7, 2016 |
| Mailing address | Po Box 53529, Chicago, IL 60653-0529 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2002 (24 years in practice) |
| Group practice | Vitae Health Medical Illinois, Pllc — 215 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |