Noela J Momburi

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW22063 Issued in FL

Practice address

4655 Salisbury Rd Ste 220
Jacksonville, FL 32256-0959

Phone

(877) 844-0053

Fax

(904) 900-2224

NPI assigned

Jul 14, 2025

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": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1750272001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7733 PARADISE ISLAND BLVD APT 2510",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563779",
            "telephone_number": "904-881-7005",
            "fax_number": "904-900-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 SALISBURY RD STE 220",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560959",
            "telephone_number": "877-844-0053",
            "fax_number": "904-900-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMBURI",
        "first_name": "NOELA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW22063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Molson, CRNA
• Patrick Sean Moltmaker, APRN, PMHNP-BC
• Casey Lee Molumby, ARNP
• Kayla A. Molzof
• Cletus Tanwi Moma, MD
• Janae Moment, MD
• Veronica Yvette Moment
• Momentum Counseling
• Mommie Hands Health Care Agency
• Mommie Hands Health Care Agency

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.