Provider Demographics
NPI:1619866480
Name:MOSLEY, DANA JEAN (MSW)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:JEAN
Last Name:MOSLEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 S MICHIGAN AVE APT 1707
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-3460
Mailing Address - Country:US
Mailing Address - Phone:708-480-2749
Mailing Address - Fax:
Practice Address - Street 1:2901 S MICHIGAN AVE APT 1707
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-3460
Practice Address - Country:US
Practice Address - Phone:708-480-2749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-28
Last Update Date:2025-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker