Kathleen Mossman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34003662A Issued in IN

Practice address

1122 N Lebanon St
Kathleen Mossman, LCSW:C/O Mental Health America-Boone
Lebanon, IN 46052-1759

Phone

(765) 894-2620

Fax

(765) 482-0288

NPI assigned

Aug 19, 2006

Last updated

Apr 4, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Hendricks County Psychotherapy PSC

  dba Hendricks Therapy

  • Psychiatry Physician
  • Plainfield, IN
  • NPI 1295877900

  Social Worker

  NPD (past)
• St. Vincent Hospital & Health Care Center, Inc.

  dba Ascension St. Vincent Pharmacy

  • Community/Retail Pharmacy
  • Indianapolis, IN
  • NPI 1194929646
  NPD (past)
• St. Vincent Hospital & Health Care Center, Inc.

  dba Ascension St. Vincent Stress Center

  • Psychiatry Physician
  • Indianapolis, IN
  • NPI 1689869893

  Social Worker

  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1154435717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 ELIZAVILLE RD",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521282",
            "telephone_number": "765-894-2620",
            "fax_number": "765-482-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 N LEBANON ST",
            "address_2": "KATHLEEN MOSSMAN, LCSW:C/O MENTAL HEALTH AMERICA-BOONE",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521759",
            "telephone_number": "765-894-2620",
            "fax_number": "765-482-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSMAN",
        "first_name": "KATHLEEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "34003662A",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "34003662A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003662A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Erk LMFT LLC
• Lindsay R Moore, MA, BCBA
• Iliah Morley, RBT
• Carrie Spangler Morris, OT
• Jeffrey David Mossler, M.D.
• Alexa Mungai, BCBA
• Mihai Dan Muraru, MD
• Trisha Mustin
• Amy Elizabeth Myers, MA, ATC, LAT
• Myeyedr Optometry of Indiana, LLC (MyEyeDr.)

• Clinical Social Worker in Lebanon, IN
• Providers in Lebanon, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.