MEDICARE: MOSAIC WELLNESS CONSULTING

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1235935099
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOSAIC WELLNESS CONSULTING

Provider Business Mailing Address
First Line	:	276 E MAIN ST STE 10, # 412
Second Line	:
City	:	DENVILLE
State	:	NJ
Zip	:	07834-2641
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 ENTERPRISE DR
Second Line	:
City	:	ROCKAWAY
State	:	NJ
Zip	:	07866-2116
Country	:	US
Telephone Number	:	862-217-4062
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	COURTNEY LOZANO
Credential	:
Telephone Number	:	862-217-4062

Provider Enumeration Date	:	02/21/2025
Last Update Date	:	02/28/2025

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Directions to “MOSAIC WELLNESS CONSULTING ” Practice Location

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