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

Individual provider Clinical Social Worker · NPI 1275921280

Destinee Sharae Moore, LCSW is a Clinical Social Worker in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2014
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

30 N Michigan Ave Ste 1025
Chicago, IL 60602-3756
Phone: (312) 521-0167
Fax: (708) 843-9384
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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 149017231 (IL)

Record details

NPI number1275921280
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 26, 2014
Last updated in NPPESApril 25, 2022
Certification dateApril 25, 2022

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