Active NPI
Richard Eugene Mosher
- Clinical Social Worker
- Duluth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 20622
- Practice address
- 101 W 2ND St
Duluth, MN 55802-2086 - Phone
- (218) 724-3122
- Fax
- (833) 933-0639
- NPI assigned
- Mar 31, 2014
- Last updated
- Oct 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 20622 | MN | Primary |
Addresses
Primary practice location
101 W 2ND St
Duluth, MN 55802-2086
Mailing address
101 W 2ND St
Duluth, MN 55802-2086
Phone (218) 724-3122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
222 W Superior St
Suite 200
Duluth, MN 55802-1939
Phone (218) 606-1100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Two Rivers Counseling LLC | Current | Accepting new patients |
Locations
222 W Superior St
Ste 200
Duluth, MN 55802
Phone (218) 606-1100
404 W Superior St
Ste 210
Duluth, MN 55802
Phone (218) 302-4866
418 7th St
Two Harbors, MN 55616
Phone (218) 606-1100
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Duluth, MN
- NPI 1093486722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635465600000",
"number": "1366860041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W 2ND ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558022086",
"telephone_number": "218-724-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W 2ND ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558022086",
"telephone_number": "218-724-3122",
"fax_number": "833-933-0639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSHER",
"first_name": "RICHARD",
"middle_name": "EUGENE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-31",
"last_updated": "2021-10-29",
"certification_date": "2021-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "20622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.