Provider Demographics
NPI:1972488732
Name:MOSELY, ANGELA L (LICSW)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:L
Last Name:MOSELY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5057 LAKE CREST CIR
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-5020
Mailing Address - Country:US
Mailing Address - Phone:205-821-0337
Mailing Address - Fax:
Practice Address - Street 1:5057 LAKE CREST CIR
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35226-5020
Practice Address - Country:US
Practice Address - Phone:205-821-0337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-09
Last Update Date:2025-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6368C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical