Mosaic Unlimited Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149015007 Issued in IL

Legal business name

MOSAIC UNLIMITED INC

Practice address

9 Junction Dr W
Suite 2
Glen Carbon, IL 62034

Phone

(618) 407-0900

Fax

(618) 205-3275

NPI assigned

Sep 22, 2012

Organization subpart

No

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

Authorized official

Name

Renee Keller

Title

Director

Phone

(618) 407-0900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1348272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1124379755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 JUNCTION DR W STE 5",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620342931",
            "telephone_number": "618-407-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 JUNCTION DR W",
            "address_2": "SUITE 2",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "62034",
            "telephone_number": "618-407-0900",
            "fax_number": "618-205-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC UNLIMITED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-22",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "618-407-0900"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Rae Moore, D.M.D.
• Emily Mooshegian, MSW, LCSW
• Morningstar Chiropractic & Rehabilitation Center LTD
• Andrew L. Morningstar, DC
• Amanda Morrow, LMT, MMP
• Michael E Mulligan, M.D.
• Sophia Munoz
• Simone Marie Myers
• George T Nahass, M.D.
• National Pedorthic Services, Inc.

• Clinical Social Worker in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.