Individual provider · Type 1 NPI

Tatiana Jones-Moore, LCSW

Clinical Social Worker · Bloomington, IL

NPI number 1013707819 Active

Practice location

404 N Hershey Rd Ste C
Bloomington, IL 61704-3560

Fax (309) 590-5990

Mailing address

55 E Jackson Blvd Ste 1500
Chicago, IL 60604-4184

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X150107206 (IL)
Clinical Social Worker Primary 1041C0700X149029569 (IL)

Clinical Social Worker: 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 interpers…

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About NPI 1013707819

Tatiana Jones-Moore, LCSW's National Provider Identifier is 1013707819, issued on May 7, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomington, IL. The record was last updated on Jun 17, 2025.