Adrienne Moberg, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004183 Issued in GA

Practice address

2450 Atlanta Hwy Ste 1503
Cumming, GA 30040-1277

Phone

(678) 296-1825

NPI assigned

Nov 19, 2018

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1457820565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8090 SANDORN DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300756735",
            "telephone_number": "678-296-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY STE 1503",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401277",
            "telephone_number": "678-296-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBERG",
        "first_name": "ADRIENNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Morgan Mitchell
• Lauren Mitchell, M.S.,CF-SLP
• Lisa Robin Mitchell, LMSW
• Natalie Nicole Mitchell, NP
• Shannon Mize, M.D.
• Bansari Modi
• Farid Moghaddam, D.M.D.
• Moghniuddin Mohammed, M.D.
• Lisa Marie Mohesky, ORT/L
• Michael Mohr

• Clinical Social Worker in Cumming, GA
• Providers in Cumming, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.