Kimberly Mossman Licsw, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KIMBERLY MOSSMAN LICSW, LLC

Practice address

20 Tremont St Ste 16
Duxbury, MA 02332-5315

Phone

(508) 273-5008

Fax

(888) 972-9741

NPI assigned

Sep 26, 2018

Organization subpart

No

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

Authorized official

Name

Kimberly A Mossman, LICSW, ED.SNPI 1134448228

Title

Owner

Phone

(508) 273-5008

Specialties & licenses 1

Addresses

Other names 1

• Mossman Play Therapy Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Anne Mossman, LICSW

  • Clinical Social Worker
  • Marshfield, MA
  • NPI 1134448228
  NPD Authorized official

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1922583806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TREMONT ST STE 16",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023325315",
            "telephone_number": "508-273-5008",
            "fax_number": "888-972-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 TREMONT ST STE 16",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023325315",
            "telephone_number": "508-273-5008",
            "fax_number": "888-972-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY MOSSMAN LICSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "MOSSMAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-273-5008",
        "authorized_official_credential": "LICSW, ED.S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mossman Play Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katina Manning
• Laura R Kelley, FNP
• Kierstin Renee Kerr, D.M.D.
• Stephen D Kerzner, M.D.
• Jocelyn Khoo, MT-BC
• Shirley A. Kinney, RN
• Lauren Kirby
• KJL Natural Healing Inc.
• Ulrike B Kohler, M.D.
• Kun Zhao, DMD, PLLC

• Clinical Social Worker in Duxbury, MA
• Providers in Duxbury, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.