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

Mrs. Michelle Glynise Moore, EARLYINTERVENTIONP

Individual provider Social Worker · NPI 1760649628

Mrs. Michelle Glynise Moore, EARLYINTERVENTIONP is a Social Worker in Blue Island, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2008
Specialties on file
3
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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 658
Blue Island, IL 60406
Phone: (708) 698-0714
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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 149027689 (IL)
Social Worker Taxonomy 104100000X · Licence 150107720 (IL)
Early Intervention Provider Agency Taxonomy 252Y00000X (IL)

Record details

NPI number1760649628
Entity typeIndividual (Type 1)
GenderFemale
Credentials EARLYINTERVENTIONP
Sole proprietorYes
NPI enumeratedMay 19, 2008
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

Other providers in Blue Island