Organization Active NPI

Mosaic Counseling Center

  • Clinical Social Worker
  • Bakersfield, CA
National Provider Identifier
1295122414
Registry record updated Apr 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 25929 Issued in CA
Legal business name
MOSAIC COUNSELING CENTER
Practice address
1430 Truxtun Ave
5TH Floor
Bakersfield, CA 93301-5246
Phone
(661) 665-6077
Fax
(661) 665-6077
NPI assigned
Apr 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2015

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

Authorized official

Name
Cherilyn Renee Haworth, L.C.S.W.
Title
Owner / Therapist
Phone
(661) 665-6077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LCS 25929 CA Primary

Addresses

Primary practice location

1430 Truxtun Ave
5TH Floor
Bakersfield, CA 93301-5246

Mailing address

1430 Truxtun Ave
5TH Floor
Bakersfield, CA 93301-5246
Phone (661) 665-6077

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430006400000",
    "number": "1295122414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TRUXTUN AVE",
            "address_2": "5TH FLOOR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015246",
            "telephone_number": "661-665-6077",
            "fax_number": "661-665-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TRUXTUN AVE",
            "address_2": "5TH FLOOR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015246",
            "telephone_number": "661-665-6077",
            "fax_number": "661-665-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-26",
        "last_updated": "2015-04-26",
        "status": "A",
        "authorized_official_last_name": "HAWORTH",
        "authorized_official_first_name": "CHERILYN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER / THERAPIST",
        "authorized_official_telephone_number": "661-665-6077",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 25929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2015; 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.