Individual provider Active NPI

Richard H Mousley, LCSW

  • Clinical Social Worker
  • Ephrata, PA
National Provider Identifier
1255440251
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014329 Issued in PA
Practice address
4131C Oregon Pike
Ephrata, PA 17522-9550
Phone
(717) 859-9902
Fax
(717) 859-8774
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW014329 PA Primary

Addresses

Primary practice location

4131C Oregon Pike
Ephrata, PA 17522-9550

Mailing address

4131C Oregon Pike
Ephrata, PA 17522-9550
Phone (717) 859-9902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20040831000816 PA Practitioner - Clinical Social Worker 8527033778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

453 Parkwynne Rd
Lancaster, PA 17601-2834

719 Olde Hickory Rd
Suite a
Lancaster, PA 17601-4985
Phone (717) 513-9953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW014329PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Richard H. Mousley, LLC Clinical CurrentSince Jul 2, 2013 Accepting new patients
Ephrata Community Hospital Past Accepting new patients
Community Services Group, Inc. PastSince Oct 1, 2002 Accepting new patients
Lma Systems Group Inc Clinical Past Accepting new patients

Locations

719 Olde Hickory Rd
Ste A
Lancaster, PA 17601
Phone (717) 208-7340

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255440251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131C OREGON PIKE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175229550",
            "telephone_number": "717-859-9902",
            "fax_number": "717-859-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131C OREGON PIKE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175229550",
            "telephone_number": "717-859-9902",
            "fax_number": "717-859-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSLEY",
        "first_name": "RICHARD",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

Verify at the official NPI Registry.