JOHN PATRICK SMITH-MOORE LCSW
NPI 1609480243
Social Worker - Clinical in Chicago, IL
About John Patrick Smith-moore Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN PATRICK SMITH-MOORE LCSW (NPI 1609480243) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.019742) and active in the NPI registry since September 2020. He has opted out of Medicare through October 2, 2026.
NPPES Registry Identity
Specialties & Licenses
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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
John Patrick Smith-moore Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 2, 2024 through October 2, 2026.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Smith-moore's NPI number?
The NPI number for John Smith-moore is 1609480243. It was assigned to this individual provider in the NPPES registry on September 1, 2020.
Where is John Smith-moore located?
John Smith-moore practices at 5340 N Clark St Ste 212, Chicago, IL 60640. The listed phone number is (312) 379-9476.
What is John Smith-moore's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is John Smith-moore enrolled in Medicare?
No. John Smith-moore has opted out of Medicare through October 2, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for John Smith-moore was last updated on September 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.
