Individual provider Active NPI

Patricia W. Mosden, MSW, LCSW

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1457443616
Registry record updated Apr 12, 2013
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Mar 20, 2022.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C000396 Issued in NC
Practice address
4016 Banks Stone Dr
Raleigh, NC 27603-4856
Phone
(919) 772-7300
Fax
(919) 772-7300
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C000396 NC
Mental Health Counselor 101YM0800X C000396 NC Primary

Addresses

Primary practice location

4016 Banks Stone Dr
Raleigh, NC 27603-4856

Mailing address

4016 Banks Stone Dr
Raleigh, NC 27603-4856
Phone (919) 772-7300

Other identifiers 1

IdentifierTypeStateIssuer
6003085MedicaidNC

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
C000396NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Onsite Care PLLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1457443616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 BANKS STONE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276034856",
            "telephone_number": "919-772-7300",
            "fax_number": "919-772-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 BANKS STONE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276034856",
            "telephone_number": "919-772-7300",
            "fax_number": "919-772-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSDEN",
        "first_name": "PATRICIA",
        "middle_name": "W.",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000396",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C000396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003085",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.