MRS. MICHELLE GLYNISE MOORE EARLY INTERVENTION P
NPI 1760649628
Social Worker - Clinical in Blue Island, IL

Active since May 19, 2008
PO BOX 658, BLUE ISLAND, IL 60406(708) 698-0714 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 11, 2026, Mar 11, 2026, Sep 5, 2024 and 1 more (4 updates tracked since 2018).

About Mrs. Michelle Glynise Moore Early Intervention P NPPES

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

MRS. MICHELLE GLYNISE MOORE EARLY INTERVENTION P (NPI 1760649628) is an individual clinical provider in Blue Island, Illinois, licensed in Illinois (149027689) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1760649628
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. MICHELLE GLYNISE MOORECredential: EARLY INTERVENTION P
Location AddressPO BOX 658Blue Island, IL 60406
Mailing Address246 E Janata Blvd Ste 111Lombard, IL 60148-5317 · (708) 698-0714
Sole ProprietorYes
Enumeration DateMay 19, 2008
Last NPPES UpdateMay 11, 20264 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
NPI 1760649628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149027689
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 150107720 (IL)
Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X
PO BOX 658, Blue Island, IL 60406

Other Names 1

Former Name (1)Mrs. Michelle Glynise Moore Early Intervention P

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 1760649628. It was assigned to this individual provider in the NPPES registry on May 19, 2008. The provider is also known as Mrs. Michelle Glynise Moore Early Intervention P.

Where is Michelle Moore located?

Michelle Moore practices at PO Box 658, Blue Island, IL 60406. The listed phone number is (708) 698-0714.

What is Michelle Moore's specialty?

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

When was this NPI record last updated?

The NPPES record for Michelle Moore was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.