Active NPI
Lauren E Moss, SW
- Clinical Social Worker
- Mansfield, TX
National Provider Identifier
1134730880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1759 Broad Park Cir S Ste 113
Mansfield, TX 76063-7836 - Phone
- (817) 473-1312
- NPI assigned
- Aug 14, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1759 Broad Park Cir S Ste 113
Mansfield, TX 76063-7836
Mailing address
1759 Broad Park Cir S Ste 113
Mansfield, TX 76063-7836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 404951201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597363200000",
"number": "1134730880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1759 BROAD PARK CIR S STE 113",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760637836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1759 BROAD PARK CIR S STE 113",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760637836",
"telephone_number": "817-473-1312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "LAUREN",
"middle_name": "E",
"credential": "SW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-14",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "404951201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.