MEDICARE: MOSAIC COUNSELING & ASSOCIATES, LLC

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	:	1275264616
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOSAIC COUNSELING & ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	15 ESPER AVE
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01602-2415
Country	:	US
Telephone Number	:	978-558-0220
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 ESPER AVE
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01602-2415
Country	:	US
Telephone Number	:	978-558-0220
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. PAULA J CHAPUT
Credential	:	LICSW
Telephone Number	:	978-558-0220

Provider Enumeration Date	:	06/17/2022
Last Update Date	:	02/06/2026

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