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

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed
Peer Specialist Primary 175T00000XAPS.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.