JOHN PATRICK SMITH-MOORE LCSW
NPI 1609480243
Social Worker - Clinical in Chicago, IL

Q: 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.

Q: What is John Smith-moore's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for John Smith-moore was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 01, 2020

5340 N CLARK ST STE 212, CHICAGO, IL 60640(312) 379-9476 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 11, 2023, Sep 1, 2020 (2 updates tracked since 2020).

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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.

NPPES Registry Identity

NPI1609480243

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameJOHN PATRICK SMITH-MOORECredential: LCSW

Location Address5340 N CLARK ST STE 212Chicago, IL 60640-2120

Mailing Address5340 N Clark St Ste 212Chicago, IL 60640-2120 · (312) 379-9476

Phone(312) 379-9476

Sole ProprietorYes

Enumeration DateSeptember 1, 2020

Last NPPES UpdateSeptember 11, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2023

✔ NPI 1609480243 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 · 149.019742

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.

5340 N CLARK ST STE 212, Chicago, IL 60640

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Other Providers at the Same Location NPPES 8

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

CALEB CHADWICK

Psychologist (Counseling)