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

Individual provider Clinical Social Worker · NPI 1609480243

John Patrick Smith-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
2020
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

5340 N Clark St Ste 212
Chicago, IL 60640-2120
Phone: (312) 379-9476
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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 149.019742 (IL)

Record details

NPI number1609480243
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 1, 2020
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023

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