Individual provider Active NPI

Barbara Yaneth Mosquera, LCSW

  • Clinical Social Worker
  • Elizabeth, NJ
National Provider Identifier
1740730365
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05727400 Issued in NJ
Practice address
749 N Broad St
105
Elizabeth, NJ 07208-2465
Phone
(908) 209-1406
NPI assigned
Oct 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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 44SC05727400 NJ Primary

Addresses

Primary practice location

749 N Broad St
105
Elizabeth, NJ 07208-2465

Mailing address

749 N Broad St
105
Elizabeth, NJ 07208-2465
Phone (908) 209-1406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20190813000947 NJ Practitioner - Clinical Social Worker 3375870470 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

971 Stuyvesant Ave
Suite 3
Union, NJ 07083-6907
Phone (908) 209-1406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05727400NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care Psychology of NJ PC CurrentSince Jul 15, 2019 Accepting new patients
Newark Community Health Centers, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Newark Community Health Centers, Inc CurrentSince Jul 1, 2020 Accepting new patients
Hamilton Behavioral MD PA CurrentSince Dec 1, 2019 Accepting new patients
Centra Medical Group, LLC PastSince Dec 1, 2019 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

2050 6th Ave
Neptune City, NJ 07753
Phone (732) 774-8300

741 Broadway
Newark, NJ 07104
Phone (973) 483-1300

560 Berkeley Ave
Orange, NJ 07050
Phone (973) 672-6500

300 Forest Ave
#A
Paramus, NJ 07652
Phone (201) 490-5158

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBFIAA

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1740730365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 N BROAD ST",
            "address_2": "105",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072082465",
            "telephone_number": "908-209-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 N BROAD ST",
            "address_2": "105",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072082465",
            "telephone_number": "908-209-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSQUERA",
        "first_name": "BARBARA",
        "middle_name": "YANETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05727400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.