Jennifer Mossefin, MSW, LCSWA, LCASA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCAS-23520 Issued in NC

Practice address

1101 Weaver Dairy Rd
Chapel Hill, NC 27514-1791

Phone

(984) 974-6327

NPI assigned

Oct 19, 2017

Last updated

Oct 19, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 12, 2024 through Mar 12, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trailhead Psychotherapy

  • Clinical Social Worker
  • Durham, NC
  • NPI 1205665049
  NPD Authorized official

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1538670336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 WEAVER DAIRY RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WEAVER DAIRY RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141791",
            "telephone_number": "984-974-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSEFIN",
        "first_name": "JENNIFER",
        "credential": "MSW, LCSWA, LCASA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-23520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Mosher, MD
• Adam Jason Moskowitz, MD
• Jeana Mosley
• Nancy Moss, M.D.
• Mahmud Mossa-Basha, MD
• Khloe Mossman
• Murphy Muse Mostellar, MD
• William Carl Mostertz III, MD
• Rachael Motamed, MD
• Michael Peter Motley, MD, PHD

• Addiction (Substance Use Disorder) Counselor in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.