MEDICARE: JULIA MOSS LLMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	149029069	IL

General Provider Information

NPI Number	:	1437837127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA MOSS LLMSW

Provider Business Mailing Address
First Line	:	5102 N WINCHESTER AVE APT 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-8623
Country	:	US
Telephone Number	:	313-410-4315
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 E WASHINGTON ST STE 1613
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60602-1819
Country	:	US
Telephone Number	:	312-600-3936
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2023
Last Update Date	:	02/02/2026

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