Active NPI
Jasmine Mosely, LMSW
- Social Worker
- Sulphur, LA
National Provider Identifier
1609299197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 11789
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11789 | LA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerwell Senior Primary Care (la) PC | Current | Accepting new patients | |
| Centerwell Senior Primary Care la PC | Current | Accepting new patients | |
| Centerwell Senior Primary Care (la) PC | Current | 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
- 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.
-
- Internal Medicine Physician
- Bossier City, LA
- NPI 1760005136
-
- Internal Medicine Physician
- Lake Charles, LA
- NPI 1952036998
-
- Internal Medicine Physician
- Denham Springs, LA
- NPI 1336721620
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.