ANDREA MOSS LCSW
NPI 1174191241
Social Worker in Champaign, IL
NPI Status: Active since June 15, 2021
Contact Information
1802 S MATTIS AVE
CHAMPAIGN, IL
ZIP 61821
Phone: (217) 383-1850
Fax: (217) 383-3439
- Individual
- Female
- Social Worker
- Accepts Insurance
- PECOS Enrolled
About ANDREA MOSS
This page provides the complete NPI Profile along with additional information for Andrea Moss, a provider established in Champaign, Illinois with a medical specialization in Social Worker. The healthcare provider is registered in the NPI registry with number 1174191241 assigned on June 2021. The practitioner's primary taxonomy code is 104100000X with license number 149012800 (IL). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1174191241
- Provider Name
- ANDREA MOSS LCSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1802 S MATTIS AVE CHAMPAIGN, IL 61821
- Location Phone
- (217) 383-1850
- Location Fax
- (217) 383-3439
- Mailing Address
- 611 W PARK ST FAPC URBANA, IL 61801
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-15-2021
- Last Update Date
- 06-15-2021
- Code Navigator
A social worker like Andrea Moss helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker
- Taxonomy Code
- 104100000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 149012800
- License State
- IL
- Taxonomy Description
- A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Andrea Moss is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for ANDREA MOSS LCSW
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 7 | 4 | 1 | 9 | 1 | 2 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 2 | 9 | 2 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 2 + 9 + 2 + 2 + 8 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1174191241 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1003947557 | CARLE CLINIC ASSOCIATION, PC Organization | Durable Medical Equipment & Medical Supplies | 1802 S MATTIS AVE CHAMPAIGN, IL 61821 (217) 326-1220 |
| 1780703520 | MS. KELLY DAWN CLARK RPH Individual | Pharmacist | 1802 S MATTIS AVE CHAMPAIGN, IL 61821 (217) 326-1399 |
| 1952525149 | RICHARD GERALD MARRS R.PH. Individual | Pharmacist | 1802 S MATTIS AVE CHAMPAIGN, IL 61821 (217) 326-1399 |
| 1760607923 | MRS. KENDA CALLAHAN HESS RPH Individual | Pharmacist | 1802 S MATTIS AVE CHAMPAIGN, IL 61821 (217) 326-1399 |
| 1508038233 | MR. ALLAN W STRAND BS Individual | Pharmacist | 1802 S MATTIS AVE CHAMPAIGN, IL 61821 (217) 326-1399 |
| 1417279944 | CARLE HEALTH CARE INCORPORATED Organization | Durable Medical Equipment & Medical Supplies | 1802 S MATTIS AVE CHAMPAIGN, IL 61821 (217) 326-1330 |
| 1023037173 | KRISTINE S ANDERSON PA Individual | Physician Assistant (Surgical) | 1802 S MATTIS AVE CHAMPAIGN, IL 61821 (217) 383-3260 |
| 1922408640 | THE CARE FOUNDATION HOSPITAL Organization | Durable Medical Equipment & Medical Supplies | 1802 S MATTIS AVE CHAMPAIGN, IL 61821 (217) 383-4465 |
| 1861692394 | DR. ERICK MAKIO KAWAKITA M.D. Individual | Orthopaedic Surgery | 1802 S MATTIS AVE CHAMPAIGN, IL 61821 (217) 383-3260 |
| 1629041660 | CAROLE S MCNAMARA PA-C Individual | Physician Assistant (Medical) | 1802 S MATTIS AVE ORTHOPEDICS CHAMPAIGN, IL 61821 (217) 383-3260 |
| 1437352960 | MARK E PALERMO DO Individual | Orthopaedic Surgery | 1802 S MATTIS AVE ORTHO CHAMPAIGN, IL 61821 (217) 383-3260 |
| 1558779058 | MRS. SHANNON MARIE HOLTHAUS APN Individual | Nurse Practitioner (Family) | 1802 S MATTIS AVE CHAMPAIGN, IL 61821 (217) 383-3260 |
| 1881080372 | DEANNA KANE NP Individual | Nurse Practitioner | 1802 S MATTIS AVE CHAMPAIGN, IL 61821 (217) 383-3260 |
| 1659700326 | ERICA SHROYER APN, NP-C Individual | Nurse Practitioner | 1802 S MATTIS AVE PODIATRY CHAMPAIGN, IL 61821 (217) 383-3260 |
| 1568459030 | BART WAYNE GASTWIRTH D.P.M. Individual | Podiatrist (Foot Surgery) | 1802 S MATTIS AVE CHAMPAIGN, IL 61821 (217) 383-3260 |
| 1558869081 | KRISTIN E THIES PSYD Individual | Psychologist | 1802 S MATTIS AVE CHAMPAIGN, IL 61821 (217) 365-2855 |
| 1841843539 | RAKISHA WILKS NP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1802 S MATTIS AVE CHAMPAIGN, IL 61821 (217) 365-2855 |
| 1306105051 | JACQUELINE HENRICHS Individual | Social Worker (Clinical) | 1802 S MATTIS AVE CHAMPAIGN, IL 61821 (217) 365-2855 |
| 1114563640 | MARY K KIESEWETTER PMHNP Individual | Nurse Practitioner | 1802 S MATTIS AVE CHAMPAIGN, IL 61821 (217) 365-2855 |
| 1750487179 | SARI GILMAN ARONSON M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1802 S MATTIS AVE CHAMPAIGN, IL 61821 (217) 383-1850 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174191241, enumerated in the NPI registry as an "individual" on June 15, 2021
The provider is located at 1802 S Mattis Ave Champaign, Il 61821 and the phone number is (217) 383-1850
The provider's speciality is Social Worker with taxonomy code 104100000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on June 15, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.