KERIE MOORE LCSW
NPI 1013392596
Social Worker - Clinical in Vienna, IL

Active since July 24, 2015
406 E VINE ST, VIENNA, IL 62995(618) 658-3079 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kerie Moore Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KERIE MOORE LCSW (NPI 1013392596) is an individual clinical provider in Vienna, Illinois, licensed in Illinois (149021412) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1013392596
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKERIE MOORECredential: LCSW
Location Address406 E VINE STVienna, IL 62995-1612
Mailing Address408 E Vine St, Po Box 1328Vienna, IL 62995-1612 · (618) 658-2611
Sole ProprietorNo
Enumeration DateJuly 24, 2015
Last NPPES UpdateJuly 31, 2019
NPI 1013392596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149021412
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

406 E VINE ST, Vienna, IL 62995

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
406 E VINE ST
VIENNA, IL 62995
Counselor (Addiction (Substance Use Disorder))
406 E VINE ST
VIENNA, IL 62995
Counselor (Addiction (Substance Use Disorder))
406 E VINE ST
VIENNA, IL 62995
Counselor (Mental Health)
406 E VINE ST
VIENNA, IL 62995
Counselor (Addiction (Substance Use Disorder))
406 E VINE ST
VIENNA, IL 62995

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013392596, enumerated as an "individual" on July 24, 2015.

The provider is located at 406 E VINE ST VIENNA, IL 62995 and the phone number is (618) 658-3079.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.