Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609480243 Individual Practitioner Male Practitioner

John Patrick Smith-Moore , LCSW

Social Worker - Clinical • Chicago, IL

Professional Overview & Biography Verified Profile Summary

John Smith-Moore, LCSW is a registered healthcare professional specializing in Social Worker - Clinical in Chicago, IL. Practice services are available at 5340 N CLARK ST STE 212 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5340 N Clark St Ste 212

Chicago, IL 606402120

Telephone 3123799476

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.2 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
4456 Specialists

Practicing in Chicago, IL (14000 Statewide)

Telehealth Adoption Rate
5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-11
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License IL 149.019742

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Rodrigo Torres , PhD, MA

Psychologist - Clinical

NPI 1235847591

Doctor of Philosophy (Ph.D.), Master of Arts

Ashley Meczywor

Counselor - Professional

NPI 1578200440

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 11, 2023

Registered at 5340 N CLARK ST STE 212, CHICAGO, IL 606402120 (Tel: 3123799476)

📍
Updated Business Mailing Address September 11, 2023

Registered at 5340 N CLARK ST STE 212, CHICAGO, IL 606402120 (Tel: 3123799476)

📍
Updated Business Mailing Address August 11, 2023

Registered at 4309 N KENMORE AVE UNIT 2, CHICAGO, IL 606137352 (Tel: 7736000287)

👤
Provider Name / Credentials Updated August 11, 2023

Recorded as JOHN SMITH-MOORE, LCSW

NPI Profile Active September 01, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 01, 2020

Registered at 60 REVERE DR STE 100, NORTHBROOK, IL 600621590 (Tel: 7736000287)

📍
Updated Business Mailing Address September 01, 2020

Registered at 5068 N WINCHESTER AVE APT 3N, CHICAGO, IL 606407896 (Tel: 7736000287)

👤
Provider Name / Credentials Updated September 01, 2020

Recorded as JOHN MOORE, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2020

Social Worker (License #149.019742 in IL)

🟢
Initial NPI Registration & Enumeration September 01, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609480243
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2020
Last Update: September 11, 2023
Sole Proprietor: Yes

Mailing Address

5340 N Clark St Ste 212

Chicago, IL 606402120

Phone: 3123799476

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.