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STEPHANIE MOORE LCSW
NPI 1013682525
Social Worker in Waterloo, IL

Active since August 16, 2021PECOS EnrolledAccepts Medicare Assignment
988 N ILLINOIS ROUTE 3, WATERLOO, IL 62298(618) 939-4444 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie Moore Lcsw NPPES

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

STEPHANIE MOORE LCSW (NPI 1013682525) is an individual social worker in Waterloo, Illinois and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1013682525
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSTEPHANIE MOORECredential: LCSW
Location Address988 N ILLINOIS ROUTE 3Waterloo, IL 62298-1059
Mailing Address988 N Illinois Route 3Waterloo, IL 62298-1059 · (618) 939-4444
Phone(618) 939-4444
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 16, 2021
NPPES CertifiedAugust 16, 2021
✔ NPI 1013682525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
988 N ILLINOIS ROUTE 3, Waterloo, IL 62298
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie Moore Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830581040
PECOS Enrollment IDI20220120002238
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DEBRA WILKERSON LPN
Licensed Practical Nurse
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
DANIEL MOLL RSA
Rehabilitation Practitioner
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
BONNIE LEWIS RSA
Rehabilitation Practitioner
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
MARY GATES-GULLY MS, CADC
Counselor (Addiction (Substance Use Disorder))
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
SHYRL HAMILTON MHP
Case Manager/Care Coordinator
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
ABAGAIL JEAN WHITAKER RSA
Rehabilitation Practitioner
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
PEGGY ANN WORK MHP
Rehabilitation Practitioner
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
MICHELLE MARTIN RSA
Rehabilitation Practitioner
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Moore's NPI number?

The NPI number for Stephanie Moore is 1013682525. It was assigned to this individual provider in the NPPES registry on August 16, 2021.

Where is Stephanie Moore located?

Stephanie Moore practices at 988 N Illinois Route 3, Waterloo, IL 62298. The listed phone number is (618) 939-4444.

What is Stephanie Moore's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Stephanie Moore enrolled in Medicare?

Yes. Stephanie Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stephanie Moore was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.