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NPI Code Detail

MEDICARE: CYNTHIA MOSLEY LCSW

MEDICARE: CYNTHIA MOSLEY LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker13803LA
2171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487239208
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA MOSLEY LCSW
Provider Business Mailing Address
First Line : 2520 CRESTWOOD DR
Second Line :
City : SHREVEPORT
State : LA
Zip : 71118-2113
Country : US
Telephone Number : 318-868-3093
Fax Number :
Provider Business Practice Location Address
First Line : 2520 CRESTWOOD DR
Second Line :
City : SHREVEPORT
State : LA
Zip : 71118-2113
Country : US
Telephone Number : 318-868-3093
Fax Number : 318-868-3094
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2021
Last Update Date : 03/17/2026

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Directions to “ CYNTHIA MOSLEY LCSW” Practice Location

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