Individual provider Active NPI

Elizabeth Ann Moberg

  • Clinical Social Worker
  • Greenville, TX
National Provider Identifier
1396317913
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107785 Issued in TX
Practice address
3101 Joe Ramsey Blvd E Ste 104
Greenville, TX 75401-7762
Phone
(772) 323-7591
NPI assigned
Jul 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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 107785 TX Primary

Addresses

Primary practice location

3101 Joe Ramsey Blvd E Ste 104
Greenville, TX 75401-7762

Mailing address

736 S Graham St
Memphis, TN 38111-7534

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eamoberg@memphis.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20251203004436 TX Practitioner - Clinical Social Worker 0042703431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1935 Medical District Dr
Dallas, TX 75235-7794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107785TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Health System of Texas CurrentSince Nov 12, 2025 Accepting new patients
Children'S Health System of Texas CurrentSince Nov 12, 2025 Accepting new patients

Locations

1341 W Mockingbird Ln
Ste 500E
Dallas, TX 75247
Phone (214) 456-8899

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1396317913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 S GRAHAM ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381117534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 JOE RAMSEY BLVD E STE 104",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017762",
            "telephone_number": "772-323-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBERG",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eamoberg@memphis.edu",
            "affiliation": "N",
            "address_1": "3385 Airways Blvd",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381163841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.