Mosaic Counseling and Psychotherapy, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

001505ISW Issued in RI

Legal business name

MOSAIC COUNSELING AND PSYCHOTHERAPY, INC.

Practice address

145 Waterman St
Providence, RI 02906-2128

Phone

(401) 658-6114

Fax

(401) 861-1250

NPI assigned

Jun 10, 2009

Organization subpart

No

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

Authorized official

Name

Mr. William S. Carey, LICSW

Title

Vice President

Phone

(401) 658-6114

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1801022322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 WATERMAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062128",
            "telephone_number": "401-658-6114",
            "fax_number": "401-861-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 WATERMAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062128",
            "telephone_number": "401-658-6114",
            "fax_number": "401-861-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC COUNSELING AND PSYCHOTHERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "401-658-6114",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "RI",
            "license": "PS01086",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "001505ISW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WC3213",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul E Morrissey, MD
• Alondra Maria Morrobel
• Alyssa Ann Morron, RD, IBCLC, CLC, CLSP
• Maureen M. Morrow, C.N.M.
• Joan Granado Morse
• Catherine Moscinski, MD
• Andrew K Moser, P.A.
• Tayla Ashley Moshal
• Pamela Mosher
• Jesse Eli Moskowitz, MD

• Clinical Social Worker in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.