Active NPI
Sherbert V Canada-Mosby, M.S.W.
- Social Worker
- Smithville, MS
National Provider Identifier
1306026240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- W6257
- Practice address
- 63420 Highway 25 N
Smithville, MS 38870-9700 - Phone
- (662) 651-4637
- Fax
- (662) 651-4636
- NPI assigned
- Nov 8, 2007
- Last updated
- Nov 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | W6257 | MS | Primary |
Addresses
Primary practice location
63420 Highway 25 N
Smithville, MS 38870-9700
Mailing address
1030 Jefferson Ave
Memphis, TN 38104-2127
Phone (901) 523-8990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W6257 | MS | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Family Health Services, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Tremont, MS
- NPI 1124618525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1306026240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 JEFFERSON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381042127",
"telephone_number": "901-523-8990",
"fax_number": "901-577-7467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63420 HIGHWAY 25 N",
"city": "SMITHVILLE",
"state": "MS",
"postal_code": "388709700",
"telephone_number": "662-651-4637",
"fax_number": "662-651-4636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANADA-MOSBY",
"first_name": "SHERBERT",
"middle_name": "V",
"name_prefix": "Mrs.",
"credential": "M.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-08",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MS",
"license": "W6257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithville, MS
- Access Family Health Services, Inc. (Access School Health - Smithville)
- Melissa K Beach, LCSW
- Mari Caitlyne Blaylock, FNP-C
- Teresa Nicole Brown, LCSW
- Rebecca Cagle, A.P.R.N., B.C.
- Whitney Johnson Carroll, FNP-BC
- Joby Davis Collins, D.M.D.
- Nicholas Allen Cummings, M.D.
- Vivian Draper, D.D.S., M.P.H.
- Michelle George, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.