Individual provider · Type 1 NPI
Malcolm X. Mosely, PRS QMHS CMS
Peer Specialist · Cleveland, OH
NPI number
1558028647
Active
Practice location
3500 Carnegie Ave
Cleveland, OH 44115-2641
Mailing address
434 Eastland Rd
Berea, OH 44017-1217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Community Health Worker | 172V00000X | None listed |
| Peer Specialist Primary | 175T00000X | APS.001014 (OH) |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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About NPI 1558028647
Malcolm X. Mosely, PRS QMHS CMS's National Provider Identifier is 1558028647, issued on Nov 23, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Cleveland, OH. The record was last updated on Nov 23, 2021.