Christa Lakey Mobley, LCSW
Individual provider Active NPI Clinical Social Worker · Beulaville, NC
NPI 1144549254 · NPPES record last updated May 28, 2010
Key facts
- NPI
- 1144549254
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C006814 (NC)
- Practice address
- 191 North North Carolina Highway 41
Beulaville, NC 28518 - Phone
- (910) 298-6207
- Fax
- (910) 298-6293
- NPI assigned
- May 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100730000854 | NC | Practitioner - Clinical Social Worker | 8022141860 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tar Heel Human Services-Mental Health Division, Inc. | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C006814 | NC | Yes |
Addresses
Primary practice location
191 North North Carolina Highway 41
Beulaville, NC 28518
Mailing address
191 North North Carolina Highway 41
Beulaville, NC 28518
Phone (910) 298-6207
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1111 | Other | NC | APPLYING FOR |
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All providers in Beulaville, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.