Quintavious O'Neal Mosley

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4206 Issued in MS

Practice address

328 Depot St Lexington Ms
Lexington, MS 39095-3909

Phone

(662) 834-1709

NPI assigned

Apr 23, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Region VI Community Mental Health Commission

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenwood, MS
  • NPI 1154433233
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1114714060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 DEPOT ST LEXINGTON MS",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390953909",
            "telephone_number": "662-834-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 DEPOT ST LEXINGTON MS",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390953909",
            "telephone_number": "662-834-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "QUINTAVIOUS",
        "middle_name": "O'NEAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "4206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janawa McCaskill I, PT
• John F McCrory, CRNA
• Megan Sumrall, OD, PLLC
• Mississippi State Department of Health
• MNT Delta LLC
• Skyler Edward Myers, D.M.D.
• North Mississippi Foot Specialists PC
• Northside Haven Association, Inc.
• Abiola Nike Oke, MD
• Dustin Pambianchi, DMD

• All providers in Lexington, MS
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.