MICHELLE ANN MOORE LCSW
NPI 1750173803
Counselor - Mental Health in Chicago, IL

Active since May 22, 2025
4621 N RAVENSWOOD AVE, CHICAGO, IL 60640(734) 780-4611 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michelle Ann Moore Lcsw NPPES

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

MICHELLE ANN MOORE LCSW (NPI 1750173803) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (149.029195) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1750173803
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMICHELLE ANN MOORECredential: LCSW
Location Address4621 N RAVENSWOOD AVEChicago, IL 60640-4509
Mailing Address4621 N Ravenswood AveChicago, IL 60640-4509
Sole ProprietorNo
Enumeration DateMay 22, 2025
NPPES CertifiedMay 22, 2025
NPI 1750173803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IL · 149.029195
4621 N RAVENSWOOD AVE, Chicago, IL 60640

Other Providers at the Same Location NPPES 10

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

Social Worker
4621 N RAVENSWOOD AVE
CHICAGO, IL 60640
Counselor (Professional)
4621 N RAVENSWOOD AVE
CHICAGO, IL 60640
Counselor (Professional)
4621 N RAVENSWOOD AVE
CHICAGO, IL 60640
Social Worker (Clinical)
4621 N RAVENSWOOD AVE
CHICAGO, IL 60640
Counselor (Mental Health)
4621 N RAVENSWOOD AVE
CHICAGO, IL 60640
Social Worker
4621 N RAVENSWOOD AVE
CHICAGO, IL 60640
Social Worker
4621 N RAVENSWOOD AVE
CHICAGO, IL 60640
Social Worker (Clinical)
4621 N RAVENSWOOD AVE
CHICAGO, IL 60640

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 Michelle Moore's NPI number?

The NPI number for Michelle Moore is 1750173803. It was assigned to this individual provider in the NPPES registry on May 22, 2025.

Where is Michelle Moore located?

Michelle Moore practices at 4621 N Ravenswood Ave, Chicago, IL 60640. The listed phone number is (734) 780-4611.

What is Michelle Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Michelle Moore was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.