Provider Demographics
NPI:1396460168
Name:MOSBY, YOLANDA (SCHOOL SOCIAL WORKER)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:MOSBY
Suffix:
Gender:F
Credentials:SCHOOL SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 KERWIN RD APT 609
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-3954
Mailing Address - Country:US
Mailing Address - Phone:216-375-6437
Mailing Address - Fax:
Practice Address - Street 1:12523 WOODSIDE AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44108-2422
Practice Address - Country:US
Practice Address - Phone:216-367-9392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker