Individual provider Active NPI

Lauren Mosley, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1477025385
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149020801 Issued in IL
Practice address
2542 W North Ave
Chicago, IL 60647-5216
Phone
(872) 235-1396
NPI assigned
Dec 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149020801 IL Primary

Addresses

Primary practice location

2542 W North Ave
Chicago, IL 60647-5216

Mailing address

1001 S State St Unit 609
Chicago, IL 60605-2226
Phone (847) 707-3356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210722000080 IL Practitioner - Clinical Social Worker 2466874136 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149020801ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Clinical Group, Inc Clinical CurrentSince Apr 11, 2021 Accepting new patients

Locations

4433 N Ravenswood Ave
Ste 210
Chicago, IL 60640
Phone (312) 834-5487

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": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1477025385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S STATE ST UNIT 609",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052226",
            "telephone_number": "847-707-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475216",
            "telephone_number": "872-235-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "LAUREN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149020801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.