Active NPI
Jacqueline Mosselle, MSW
- Social Worker
- Lowell, MA
National Provider Identifier
1679996250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 218740
- Practice address
- 391 Varnum Ave
Lowell, MA 01854-2119 - Phone
- (978) 322-5120
- Fax
- (978) 322-5134
- NPI assigned
- Feb 1, 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 | 218740 | MA | Primary |
Addresses
Primary practice location
391 Varnum Ave
Lowell, MA 01854-2119
Mailing address
391 Varnum Ave
Lowell, MA 01854-2119
Phone (978) 322-5120
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1082 Davol St
Arbour Counseling Services
Fall River, MA 02720-1108
Phone (508) 678-2833
733 Turnpike St
Suite 162
North Andover, MA 01845-6137
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218740 | MA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hri Clinics, Inc. | Current | Accepting new patients | |
| Hri Clinics Inc | Current | Accepting new patients | |
| Square Behavioral Health, LLC | Current | Accepting new patients |
Locations
14 Fordham Rd
Boston, MA 02134
Phone (617) 783-9676
1082 Davol St
Fall River, MA 02720
Phone (781) 843-3683
733 Turnpike St
#162
North Andover, MA 01845
Phone (781) 771-8242
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.
-
- Community/Behavioral Health Agency
- Woburn, MA
- NPI 1598707002
-
- Psychiatric/Mental Health Nurse Practitioner
- North Andover, MA
- NPI 1699372235
-
- Community/Behavioral Health Agency
- Norwell, MA
- NPI 1922123199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391212800000",
"number": "1679996250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "391 VARNUM AVE",
"city": "LOWELL",
"state": "MA",
"postal_code": "018542119",
"telephone_number": "978-322-5120",
"fax_number": "978-322-5134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 VARNUM AVE",
"city": "LOWELL",
"state": "MA",
"postal_code": "018542119",
"telephone_number": "978-322-5120",
"fax_number": "978-322-5134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSSELLE",
"first_name": "JACQUELINE",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-01",
"last_updated": "2014-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "218740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.