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LOUTHILIA MOSE LCSW
NPI 1407523079
Social Worker - Clinical in Salt Lake City, UT

Active since August 23, 2021PECOS Enrolled
2687 E PROMENADE DR, SALT LAKE CITY, UT 84121(801) 645-3996 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Louthilia Mose Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOUTHILIA MOSE LCSW (NPI 1407523079) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (7991152-3501) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Murray.

NPPES Registry Identity

NPI1407523079
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLOUTHILIA MOSECredential: LCSW
Location Address2687 E PROMENADE DRSalt Lake City, UT 84121-4035
Mailing Address2687 E Promenade DrSalt Lake City, UT 84121-4035 · (801) 645-3996
Phone(801) 645-3996
Sole ProprietorNo
Enumeration DateAugust 23, 2021
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1407523079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in UT · 7991152-3501
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2687 E PROMENADE DR, Salt Lake City, UT 84121
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Secondary Practice Location 1

Location 15171 S Cottonwood St Ste 210Murray, UT 84107-5718 · Phone (801) 507-3380

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Louthilia Mose Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Louthilia Mose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
1.7 mi
Pediatrics
6272 S HIGHLAND DR
Murray, UT 84121
  • Reassigned Medicare billing, Utah enrollment
  • 1,729 clinicians in this Medicare group
NPI 1396880522 (801) 871-6200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Louthilia Mose's NPI number?

The NPI number for Louthilia Mose is 1407523079. It was assigned to this individual provider in the NPPES registry on August 23, 2021.

Where is Louthilia Mose located?

Louthilia Mose practices at 2687 E Promenade Dr, Salt Lake City, UT 84121. The listed phone number is (801) 645-3996.

What is Louthilia Mose's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Louthilia Mose enrolled in Medicare?

Yes. Louthilia Mose is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Louthilia Mose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Louthilia Mose reassigns Medicare benefits to Ihc Health Services Inc (Murray, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Louthilia Mose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Louthilia Mose was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.