Active NPI
Harold Prentice Moseley, MSW, LCSW, IMHP
- Clinical Social Worker
- Omaha, NE
National Provider Identifier
1407915200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 83
- Practice address
- 6107 Maple St
Suite B
Omaha, NE 68104-4001 - Phone
- (402) 740-6576
- NPI assigned
- Dec 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMHP #878 | NE | |
| Clinical Social Worker | 1041C0700X | 83 | NE | Primary |
Addresses
Primary practice location
6107 Maple St
Suite B
Omaha, NE 68104-4001
Mailing address
PO Box 34280
Omaha, NE 68134-0280
Phone (402) 740-6576
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85362 | Other | NE | BLUE CROSS BLUE SHIELD |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMHP #878 | NE | MD | Mental Health Counselor |
| 83 | NE | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332460800000",
"number": "1407915200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34280",
"city": "OMAHA",
"state": "NE",
"postal_code": "681340280",
"telephone_number": "402-740-6576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6107 MAPLE ST",
"address_2": "SUITE B",
"city": "OMAHA",
"state": "NE",
"postal_code": "681044001",
"telephone_number": "402-740-6576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSELEY",
"first_name": "HAROLD",
"middle_name": "PRENTICE",
"credential": "MSW, LCSW, IMHP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-07",
"last_updated": "2012-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "IMHP #878",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "83",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "85362",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.