Sandra Mosqueda, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.019769 Issued in IL

Practice address

4051 W 63Rd St
Chicago, IL 60629-4638

Phone

(773) 742-5728

NPI assigned

Nov 8, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Chicago Midway Youth Center

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1497401855
  NPD Authorized official

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1912410366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 9TH AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256728",
            "telephone_number": "773-742-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294638",
            "telephone_number": "773-742-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSQUEDA",
        "first_name": "SANDRA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Mosley, D.D.S
• Lauren Mosley, LCSW
• Michelle Mosley, RN
• Giselle Mosnaim, M.D.
• Andrea Mosqueda, PH.D.
• Juanita Melenne Mosquera, LCSW
• Brittany Louise Moss, LCSW
• Deborah S. Moss, L.C.P.C.
• Donnell Rashied Akiel Moss, PT, DPT
• Douglas Moss, MD

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.