Individual provider Active NPI

Kelley L Cabral-Mosher, LICSW

  • Clinical Social Worker
  • New Bedford, MA
National Provider Identifier
1659531648
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
118095 Issued in MA
Practice address
345 Union St
New Bedford, MA 02740-3679
Phone
(774) 234-7015
NPI assigned
Jun 12, 2008
Last updated
May 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 118095 MA Primary

Addresses

Primary practice location

345 Union St
New Bedford, MA 02740-3679

Mailing address

472 Allen St
New Bedford, MA 02740-2117
Phone (774) 328-6456

Other identifiers 1

IdentifierTypeStateIssuer
1309161MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20171116001729 MA Practitioner - Clinical Social Worker 8022374511 Practice locations: New Bedford, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
James P. Bresnahan, P.C. Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1659531648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 ALLEN ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402117",
            "telephone_number": "774-328-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 UNION ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027403679",
            "telephone_number": "774-234-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRAL-MOSHER",
        "first_name": "KELLEY",
        "middle_name": "L",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309161",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.