Individual provider Active NPI

Asha Mosi, LCSW

  • Clinical Social Worker
  • Oak Lawn, IL
National Provider Identifier
1386180735
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.020317 Issued in IL
Practice address
5201 W 87TH St # 1
Oak Lawn, IL 60453-1363
Phone
(708) 728-5405
NPI assigned
Jan 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 149.020317 IL Primary

Addresses

Primary practice location

5201 W 87TH St # 1
Oak Lawn, IL 60453-1363

Mailing address

5201 W 87TH St # 1
Oak Lawn, IL 60453-1363
Phone (708) 728-5405

Other practice location 1

415 E Madison St
South Bend, IN 46617-2322
Phone (574) 533-1234 ext. 488

Other practice location 2

6821 S Halsted
chicago, IL 60621
Phone (773) 651-3629

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.020317ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1386180735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 W 87TH ST # 1",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531363",
            "telephone_number": "708-728-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 W 87TH ST # 1",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531363",
            "telephone_number": "708-728-5405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 E Madison St",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466172322",
            "country_code": "US",
            "telephone_number": "574-533-1234 x488",
            "fax_number": "574-537-2652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6821 S Halsted",
            "address_purpose": "LOCATION",
            "city": "chicago",
            "state": "IL",
            "postal_code": "60621",
            "country_code": "US",
            "telephone_number": "773-651-3629",
            "fax_number": "574-537-2652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSI",
        "first_name": "ASHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.