Active NPI
Melissa Victoria Mojica, LCSW, LCAS
- Clinical Social Worker
- Fort Liberty, NC
National Provider Identifier
1154823557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C011752
- Practice address
- 2817 Rock Merritt Avenue
Fort Liberty, NC 28310-0001 - Phone
- (910) 916-7443
- NPI assigned
- Mar 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 23152 | NC | |
| Clinical Social Worker | 1041C0700X | C011752 | NC | Primary |
Addresses
Primary practice location
2817 Rock Merritt Avenue
Fort Liberty, NC 28310-0001
Mailing address
6728 Battle Rd
Fayetteville, NC 28314-5175
Phone (910) 916-7443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23152 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1154823557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6728 BATTLE RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283145175",
"telephone_number": "910-916-7443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 ROCK MERRITT AVENUE",
"city": "FORT LIBERTY",
"state": "NC",
"postal_code": "283100001",
"telephone_number": "910-916-7443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOJICA",
"first_name": "MELISSA",
"middle_name": "VICTORIA",
"name_prefix": "Mrs.",
"credential": "LCSW, LCAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-02",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "23152",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C011752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Liberty, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.