Marie Stephanie Mohapp, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

117149 Issued in CA

Practice address

11215 Eliano St
Atascadero, CA 93422-6158

Phone

(530) 301-2300

NPI assigned

Aug 28, 2023

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1285419408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 709",
            "city": "SANTA MARGARITA",
            "state": "CA",
            "postal_code": "934530709",
            "telephone_number": "530-301-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 ELIANO ST",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934226158",
            "telephone_number": "530-301-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAPP",
        "first_name": "MARIE",
        "middle_name": "STEPHANIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "117149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Mitchell, PHD
• Sean Ingram Mitchell
• Vivian Mitchell, APCC
• Morgan Miyoshi
• Masood Moghaddam, MSW
• Molly Anne Eisen-Kearns, Licensed Clinical Social Worker Inc.
• Monarch Behavior Solutions, Inc.
• Kastina Rae Moore
• Jazmin Melody Mora
• Adam E Morcos, PT, DPT

• Clinical Social Worker in Atascadero, CA
• Providers in Atascadero, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.