Tamika Machelle Mobley, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1887891 Issued in MI

Practice address

20051 Brentwood St
Livonia, MI 48152-2010

Phone

(313) 729-9758

NPI assigned

Sep 17, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Heart 2 Heart LLC

  • Home Health Agency
  • Livonia, MI
  • NPI 1568018653
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1225224900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20051 BRENTWOOD ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522010",
            "telephone_number": "313-729-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20051 BRENTWOOD ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522010",
            "telephone_number": "313-729-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "TAMIKA",
        "middle_name": "MACHELLE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-17",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "1887891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Balibay Mlak, M.A., LLP
• MMG 1PC
• MMT Integrative Services
• MN DDS PLLC
• Mobile Health Consultants LLC
• Hannah McKenzie Mockridge
• Modern Revival Therapy LLC
• Briana Modes, RN
• Bhavya Mody, M.B.B.S.
• Sukhesh J Mogara, RPT

• Clinical Social Worker in Livonia, MI
• Providers in Livonia, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.