Active NPI
Tiara Monique Mosley, LMSW
- Social Worker
- Marshalltown, IA
National Provider Identifier
1639910102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 123593
- Practice address
- 307 W Main St Ste 2
Marshalltown, IA 50158-5796 - Phone
- (641) 323-2729
- Fax
- (888) 920-1276
- NPI assigned
- Jun 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 123593 | IA | Primary |
Addresses
Primary practice location
307 W Main St Ste 2
Marshalltown, IA 50158-5796
Mailing address
339 Saxon St Apt 2
Waterloo, IA 50703-3842
Phone (319) 550-2567
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
| License | State | Type | Specialty |
|---|---|---|---|
| 123593 | IA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1639910102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 SAXON ST APT 2",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507033842",
"telephone_number": "319-550-2567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 W MAIN ST STE 2",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501585796",
"telephone_number": "641-323-2729",
"fax_number": "888-920-1276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSLEY",
"first_name": "TIARA",
"middle_name": "MONIQUE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-06",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "123593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshalltown, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.