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

Stephanie Moore, LCSW

Individual provider Social Worker · NPI 1013682525

Stephanie Moore, LCSW is a Clinical Social Worker in Waterloo, Illinois. Qualified in 2011, 15 years ago. Practices with Human Support Services, a 2-clinician group and accepts Medicare assignment.

Years since qualifying
15
In the registry since
2021
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

988 N Illinois Route 3
Waterloo, IL 62298-1059
Phone: (618) 939-4444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1013682525
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 16, 2021
Last updated in NPPESAugust 16, 2021
Certification dateAugust 16, 2021
Mailing address988 N Illinois Route 3, Waterloo, IL 62298-1059

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Human Support Services — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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