Healthcare Provider Details

I. General information

NPI: 1215301742
Provider Name (Legal Business Name): TARA MOSIER MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2015
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10001 LAKE FOREST BLVD STE 616
NEW ORLEANS LA
70127-6203
US

IV. Provider business mailing address

10001 LAKE FOREST BLVD SUITE 616
NEW ORLEANS LA
70127
US

V. Phone/Fax

Practice location:
  • Phone: 504-240-3056
  • Fax:
Mailing address:
  • Phone: 504-240-3056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number15525
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: