Active NPI
Yvette Michelle Mosley, LICSW
- Social Worker
- Kissimmee, FL
National Provider Identifier
1922317270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CL500081625
- Practice address
- 112 Paprika PL
Kissimmee, FL 34758-3667 - Phone
- (857) 498-2454
- NPI assigned
- Oct 5, 2010
- Last updated
- Apr 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CL500081625 | DC | Primary |
| Clinical Social Worker | 1041C0700X | 16494 | FL | |
| Clinical Social Worker | 1041C0700X | 24009 | MD | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
112 Paprika PL
Kissimmee, FL 34758-3667
Mailing address
8297 Champions Gate Blvd # 426
Champions Gate, FL 33896-8387
Phone (857) 498-2454
Other practice location 1
8297 Champions Gate Blvd # 426
Champions Gate, FL 33896-8387
Phone (857) 498-2454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CL500081625 | DC | MD | Social Worker |
| 16494 | FL | MD | Clinical Social Worker |
| 24009 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yvevolve LLC | Clinical | Current | Accepting new patients |
Locations
8297 Champions Gate Blvd
Champions Gate, FL 33896
Phone (206) 588-5251
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.
-
- Clinical Social Worker
- Kissimmee, FL
- NPI 1326668971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587340800000",
"number": "1922317270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8297 CHAMPIONS GATE BLVD # 426",
"city": "CHAMPIONS GATE",
"state": "FL",
"postal_code": "338968387",
"telephone_number": "857-498-2454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 PAPRIKA PL",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347583667",
"telephone_number": "857-498-2454"
}
],
"practiceLocations": [
{
"address_1": "8297 Champions Gate Blvd # 426",
"address_purpose": "LOCATION",
"city": "Champions Gate",
"state": "FL",
"postal_code": "338968387",
"country_code": "US",
"telephone_number": "857-498-2454",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSLEY",
"first_name": "YVETTE",
"middle_name": "MICHELLE",
"name_prefix": "Miss",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-05",
"last_updated": "2020-04-20",
"certification_date": "2020-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": "CL500081625",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "16494",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "24009",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.