Individual provider Active NPI

Laura Perry Mosedale, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1518248780
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW62013 Issued in CA
Practice address
1037 Dresser CT
Raleigh, NC 27609-7323
Phone
(984) 212-0028
NPI assigned
Sep 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 78725 CA
Clinical Social Worker 1041C0700X ASW62013 CA Primary
Clinical Social Worker 1041C0700X C013892 NC

Addresses

Primary practice location

1037 Dresser CT
Raleigh, NC 27609-7323

Mailing address

318 Julia Ave
Belmont, NC 28012-3914
Phone (301) 717-9972

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

LicenseStateTypeSpecialty
ASW62013CAMDClinical Social Worker
C013892NCMDClinical Social Worker
78725CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anew U Counseling Services PLLC Clinical PastSince Jul 24, 2022 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": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1518248780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 JULIA AVE",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123914",
            "telephone_number": "301-717-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 DRESSER CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097323",
            "telephone_number": "984-212-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSEDALE",
        "first_name": "LAURA",
        "middle_name": "PERRY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "78725",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW62013",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013892",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.