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MOSAIC MISSION
NPI 1417503335
Social Worker - Clinical in Keego Harbor, MI

Active since August 15, 2019
2927 GLENBROKE ST, KEEGO HARBOR, MI 48320(734) 972-5679 Get Directions Write a Review

NPPES record last updated: October 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 9, 2019, Aug 15, 2019 (2 updates tracked since 2019).

About Mosaic Mission NPPES

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

MOSAIC MISSION (NPI 1417503335) is a healthcare organization registered as a clinical in Keego Harbor, Michigan and active in the NPI registry since August 2019. The organization lists Kimberly D Keller, Owner, as its authorized official.

NPPES Registry Identity

NPI1417503335
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMOSAIC MISSION
Location Address2927 GLENBROKE STKeego Harbor, MI 48320-1102
Mailing Address2927 Glenbroke StKeego Harbor, MI 48320-1102 · (734) 972-5679
Phone(734) 972-5679
Organization SubpartNo
Authorized OfficialKimberly D KellerOwner · (734) 972-5679
Enumeration DateAugust 15, 2019
Last NPPES UpdateOctober 9, 20192 updates tracked since enumeration
✔ NPI 1417503335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
2927 GLENBROKE ST, Keego Harbor, MI 48320
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Mosaic Mission's NPI number?

The NPI number for Mosaic Mission is 1417503335. It was assigned to this organization in the NPPES registry on August 15, 2019.

Where is Mosaic Mission located?

Mosaic Mission is located at 2927 Glenbroke St, Keego Harbor, MI 48320. The listed phone number is (734) 972-5679.

What is Mosaic Mission's specialty?

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

When was this NPI record last updated?

The NPPES record for Mosaic Mission was last updated on October 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.