Phillip Sheridan Mosby, LMSW ACSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801018735

Practice address

4318 Miller Rd
Flint, MI 48507-1267

Phone

(810) 249-9924

Fax

(810) 249-9927

NPI assigned

Aug 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cognosis Health HillsideGroup PAC ID 5890158901, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cognosis Health Hillside

  • Psychiatry Physician
  • Grand Blanc, MI
  • NPI 1326726605
  Medicare reassignment Care Compare group NPD
• Cognosis Health

  • Psychiatry Physician
  • Grand Blanc, MI
  • NPI 1578249496
  NPD (past)
• Woodward Counseling

  • Addiction (Substance Use Disorder) Counselor
  • Pontiac, MI
  • NPI 1568556579
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1134138100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 N RIVER RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486096833",
            "telephone_number": "989-596-3558",
            "fax_number": "989-401-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071267",
            "telephone_number": "810-249-9924",
            "fax_number": "810-249-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSBY",
        "first_name": "PHILLIP",
        "middle_name": "SHERIDAN",
        "name_prefix": "Mr.",
        "credential": "LMSW ACSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": "6801018735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MI DEPT OF COMM",
            "identifier": "6801018735",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Kay Morrow
• Tamara Ann Morrow
• Patricia Lou Morse, MPT
• Ahmed Morsi
• Kyndra Jo Morton, NP-C
• Julia F. Moses, MNT
• Alycia Nicole Mosher, TLLP
• Susan Marie Mosier-Laclair, MD
• Janice Rhodes Mosley, CRNA
• Lanika Shantel Mosley

• Social Worker in Flint, MI
• Providers in Flint, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.