MR. TAVARES MOORE
NPI 1033627526
Social Worker - Clinical in Rockford, IL

Active since January 18, 2018PECOS EnrolledAccepts Medicare Assignment
816 FEATHERSTONE RD, ROCKFORD, IL 61107(815) 227-0081 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 26, 2023, Jan 18, 2018 (2 updates tracked since 2018).

About Mr. Tavares Moore NPPES

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

MR. TAVARES MOORE (NPI 1033627526) is an individual clinical provider in Rockford, Illinois, licensed in Illinois (149015884) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1033627526
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. TAVARES MOORE
Location Address816 FEATHERSTONE RDRockford, IL 61107-6300
Mailing Address4202 Dunbar PlRockford, IL 61114-6117 · (815) 494-1394
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 18, 2018
Last NPPES UpdateJanuary 26, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
NPI 1033627526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149015884
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.

Also ListedSocial WorkerTaxonomy 104100000X · License 149.015884 (IL)
816 FEATHERSTONE RD, Rockford, IL 61107

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

Mr. Tavares Moore 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 ID9931585171
PECOS Enrollment IDI20220926002376
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pharmacist
816 FEATHERSTONE RD
ROCKFORD, IL 61107
Family Medicine
816 FEATHERSTONE RD
ROCKFORD, IL 61107
Pharmacist (Oncology)
816 FEATHERSTONE RD
ROCKFORD, IL 61107
Social Worker
816 FEATHERSTONE RD
ROCKFORD, IL 61107
Social Worker
816 FEATHERSTONE RD
ROCKFORD, IL 61107
Social Worker
816 FEATHERSTONE RD
ROCKFORD, IL 61107
Social Worker
816 FEATHERSTONE RD
ROCKFORD, IL 61107
Counselor (Professional)
816 FEATHERSTONE RD
ROCKFORD, IL 61107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033627526, enumerated as an "individual" on January 18, 2018.

The provider is located at 816 FEATHERSTONE RD ROCKFORD, IL 61107 and the phone number is (815) 227-0081.

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