Individual provider Active NPI

Jasmine Mosely, LMSW

  • Social Worker
  • Sulphur, LA
National Provider Identifier
1609299197
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11789 Issued in LA
Practice address
700 1St Ave
Sulphur, LA 70663-3461
Phone
(337) 528-6969
NPI assigned
Feb 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11789 LA Primary

Addresses

Primary practice location

700 1St Ave
Sulphur, LA 70663-3461

Mailing address

700 1St Ave
Sulphur, LA 70663-3461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20240305003378 LA Practitioner - Clinical Social Worker 4880039452 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11789LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (la) PC Current Accepting new patients
Centerwell Senior Primary Care la PC CurrentSince Mar 10, 2024 Accepting new patients
Centerwell Senior Primary Care (la) PC CurrentSince Mar 10, 2024 Accepting new patients

Locations

2900 E Texas St
Ste 100
Bossier City, LA 71111
Phone (318) 606-6737

4050 Ryan St
Lake Charles, LA 70605
Phone (337) 426-1176

2020 Bert Kouns Industrial Loop
Shreveport, LA 71118
Phone (318) 683-4475

Interoperability endpoints

  • Direct secure messaging: jasmine.mosely.1@29601.direct.athenahealth.com

Organizations & group practices 3

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": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1609299197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 1ST AVE",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706633461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 1ST AVE",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706633461",
            "telephone_number": "337-528-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSELY",
        "first_name": "JASMINE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "11789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

Verify at the official NPI Registry.