Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Khayla T Moore

Individual provider Social Worker · NPI 1770495624

Khayla T Moore is a Social Worker in Champaign, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

411 E Park St Ste 106
Champaign, IL 61820-3862
Phone: (217) 714-7042
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 150.112928 (IL)

Record details

NPI number1770495624
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 17, 2026
Last updated in NPPESSeptember 17, 2026
Certification dateSeptember 16, 2026

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