Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crystal Moore

Individual provider Clinical Social Worker · NPI 1225996531

Crystal Moore is a Clinical Social Worker in Lansing, Illinois. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2026
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Practice location Address checks out

2206 Indiana Ave
Lansing, IL 60438-2107
Phone: (219) 269-0553
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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 149.030943 (IL)

Record details

NPI number1225996531
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 14, 2026
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing address2206 Indiana Ave, Lansing, IL 60438-2107

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Lansing