Individual provider Active NPI

Michelle F Mobley

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1245241488
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005336 Issued in NC
Practice address
150 Providence Rd Ste 100
Chapel Hill, NC 27514-2208
Phone
(919) 823-3519
Fax
(919) 503-6617
NPI assigned
Aug 11, 2006
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C005336 NC Primary

Addresses

Primary practice location

150 Providence Rd Ste 100
Chapel Hill, NC 27514-2208

Mailing address

2813 Neville Rd
Chapel Hill, NC 27516-5485
Phone (252) 944-3544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 22, 2024 through Apr 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C005336NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Intentional Practice Counseling & Wellness, PLLC Clinical CurrentSince Nov 24, 2024 Accepting new patients
Stonebridge Counseling PLLC Clinical Past Accepting new patients

Locations

150 Providence Rd
Ste 100
Chapel Hill, NC 27514
Phone (919) 229-9839

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1245241488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 NEVILLE RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275165485",
            "telephone_number": "252-944-3544",
            "fax_number": "919-503-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PROVIDENCE RD STE 100",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142208",
            "telephone_number": "919-823-3519",
            "fax_number": "919-503-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "MICHELLE",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.