Audrey K Mosquera

Primary specialty

Social WorkerTaxonomy code 104100000X

License

66661 Issued in CA

Practice address

300 Sunnyhills Dr
San Anselmo, CA 94960-1909

Phone

(415) 457-3200

NPI assigned

Feb 12, 2014

Last updated

Nov 6, 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1619391539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SUNNYHILLS DR",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601909",
            "telephone_number": "415-457-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SUNNYHILLS DR",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601909",
            "telephone_number": "415-457-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSQUERA",
        "first_name": "AUDREY",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "66661",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "66661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Joseph Moloney, D.O.
• Ben Moltman, MFT-I
• Carlyn Marie Montes de Oca, LAC
• Jesse Morris, DC
• Stephanie Morris, PH.D.
• Heather L. Murphy, CTRS
• Patrizia De Franceschi Nader
• Fatameh Niloufar Nadershahi, DDS
• Nader A Nadershahi, DDS
• Kathleen Marie Nash

• Social Worker in San Anselmo, CA
• Providers in San Anselmo, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.