Wanda J Mobley

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PO13939 Issued in NC

Practice address

108 Caskey LN
Lancaster, SC 29720-2758

Phone

(803) 718-9755

NPI assigned

Jan 25, 2020

Sex

Female

Sole proprietor

Yes

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": "1579910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579910400000",
    "number": "1891325197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CASKEY LN",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202758",
            "telephone_number": "803-718-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CASKEY LN",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202758",
            "telephone_number": "803-718-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "WANDA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-25",
        "last_updated": "2020-01-25",
        "certification_date": "2020-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "PO13939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobley Drugs, Inc (Mobley Drugs)
• Mobley Drugs, Inc (Mobley Rx Labs)
• Mobley Drugs, Inc. (Mobley Drugs and Medical)
• Mobley Drugs, Inc.
• Hubert F Mobley, RPH
• Lilliana Maria Montero
• Mookies Place (Mookies Place Youth and Family Program)
• Dianne Moore
• Moorhands Therapeutic (Jarvis Rashod McGriff)
• Sandra Moreno-Hussey, M.D.

• Clinical Social Worker in Lancaster, SC
• Providers in Lancaster, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2020; 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.