Olivett D Underwood-Mobley, DSW, LCSW
Individual provider Active NPI Clinical Social Worker · Hawthorne, FL
NPI 1942895826 · NPPES record last updated Mar 3, 2021
Key facts
- NPI
- 1942895826
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW10087 (FL)
- Practice address
- 158 Little Orange Lake Dr
Hawthorne, FL 32640-6026 - Phone
- (352) 448-1944
- NPI assigned
- Mar 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW10087 | FL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW10087 | FL | Yes |
Addresses
Primary practice location
158 Little Orange Lake Dr
Hawthorne, FL 32640-6026
Mailing address
158 Little Orange Lake Dr
Hawthorne, FL 32640-6026
Phone (352) 448-1944
Other names
- Dr. Olivett D Underwood-Mobley
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Laptop | Direct |
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All providers in Hawthorne, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.