Sean Smith-moore, LCSW is a
Social Worker - Clinical based in Chicago, Illinois. Sean Smith-moore is licensed to practice in Illinois (license number 149019678) and his current practice location is
4309 N Kenmore Ave Unit 2, Chicago, Illinois. He can be reached at his office (for appointments etc.) via phone at
(301) 974-5985.
NPI number for Sean Smith-moore is 1629442231 and his current mailing address is 5068 N Winchester Ave Apt 3n, Chicago, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629442231.
Healthcare Provider's Profile
| Full Name | Sean Smith-moore |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 4309 N Kenmore Ave Unit 2, Chicago, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1629442231
- Provider Enumeration Date: 11/19/2015
- Last Update Date: 04/22/2021
Medical Identifiers
Medical identifiers for Sean Smith-moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629442231 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 34978 (Illinois) | Secondary |
| 104100000X | Social Worker | LG50081367 (District Of Columbia) | Secondary |
| 104100000X | Social Worker | 20792 (Maryland) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149019678 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sean Smith-moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sean Smith-moore, LCSW
5068 N Winchester Ave Apt 3n,
Chicago, IL 60640-7896
Ph: () - | Sean Smith-moore, LCSW
4309 N Kenmore Ave Unit 2,
Chicago, IL 60613-7352
Ph: (301) 974-5985 |
Reviews and Comments