NPIMap

Organization Active NPI

Mobile Care Physicians Group PC

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1780345900
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MOBILE CARE PHYSICIANS GROUP PC
Practice address
8270 Woodland Center Blvd
Tampa, FL 33614-2401
Phone
(206) 738-4179
NPI assigned
Jan 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristin Victory
Title
Authorized Official
Phone
(855) 227-3574

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8270 Woodland Center Blvd
Tampa, FL 33614-2401

Mailing address

8270 Woodland Center Blvd, PMB 548
Tampa, FL 33614-2401
Phone (630) 454-0257

Other practice location 1

300 E Business Way Ste 200
Cincinnati, OH 45241-2389
Phone (206) 738-4179

Other practice location 2

3707 E Southern Ave
Mesa, AZ 85206-2569
Phone (206) 738-4179

Other practice location 3

835 Mason St Ste A250
Dearborn, MI 48124-2263
Phone (206) 738-4179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220224001120 MI Part B Supplier - Clinic/Group Practice 2062805732 Receives reassigned benefits from 2 practitioners
Practice locations: Dearborn, MI
O20240124002924 FL Part B Supplier - Clinic/Group Practice 2062805732 Receives reassigned benefits from 7 practitioners
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

8270 Woodland Center Blvd
#548
Tampa, FL 33614

835 Mason St
Ste 250
Dearborn, MI 48124
Phone (551) 227-3669

8200 Beckett Park Dr
West Chester, OH 45069
Phone (240) 434-0963

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1780345900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8270 WOODLAND CENTER BLVD, PMB 548",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142401",
            "telephone_number": "630-454-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8270 WOODLAND CENTER BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142401",
            "telephone_number": "206-738-4179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E Business Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452412389",
            "country_code": "US",
            "telephone_number": "206-738-4179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3707 E Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852062569",
            "country_code": "US",
            "telephone_number": "206-738-4179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "835 Mason St Ste A250",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481242263",
            "country_code": "US",
            "telephone_number": "206-738-4179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOBILE CARE PHYSICIANS GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "VICTORY",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "855-227-3574"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.