Healthcare Provider Details

I. General information

NPI: 1750243804
Provider Name (Legal Business Name): CHRISTINA M MAULSBY T-CDAC, MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/26/2025
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 N EISENHOWER AVE
MASON CITY IA
50401-1521
US

IV. Provider business mailing address

320 N EISENHOWER AVE
MASON CITY IA
50401-1521
US

V. Phone/Fax

Practice location:
  • Phone: 641-424-0783
  • Fax: 641-424-0783
Mailing address:
  • Phone: 641-424-0783
  • Fax: 641-424-0783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number134913
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: