Mildcare Behavioral Health Solution LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MILDCARE BEHAVIORAL HEALTH SOLUTION LLC

Practice address

1200 Marquis Pkwy Apt 2205
Williamsburg, VA 23185-5567

Phone

(551) 233-3931

NPI assigned

Jun 28, 2025

Last updated

Jun 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Obrian Agwanihu

Title

Ceo

Phone

(551) 233-3931

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Obrain U Agwanihu

  • Clinical Social Worker
  • Evanston, IL
  • NPI 1841997889

  VA

  Medicare reassignment NPD

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

{
    "created_epoch": "1751068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751068800000",
    "number": "1225927080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MARQUIS PKWY APT 2205",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855567",
            "telephone_number": "551-233-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MARQUIS PKWY APT 2205",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855567",
            "telephone_number": "551-233-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILDCARE BEHAVIORAL HEALTH SOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-28",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A",
        "authorized_official_last_name": "AGWANIHU",
        "authorized_official_first_name": "OBRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "551-233-3931"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.