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NPI Code Detail

MEDICARE: TAMARA JANEEN MOBLEY LCSW

MEDICARE:   TAMARA JANEEN MOBLEY  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerC017912NC

General Provider Information

NPI Number : 1205571395
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMARA JANEEN MOBLEY LCSW
Provider Business Mailing Address
First Line : 9805 STATESVILLE RD # 6277
Second Line :
City : CHARLOTTE
State : NC
Zip : 28269-7647
Country : US
Telephone Number : 704-770-6489
Fax Number :
Provider Business Practice Location Address
First Line : 9805 STATESVILLE RD # 6277
Second Line :
City : CHARLOTTE
State : NC
Zip : 28269-7647
Country : US
Telephone Number : 704-770-6489
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2022
Last Update Date : 09/24/2025

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Directions to “ TAMARA JANEEN MOBLEY LCSW” Practice Location

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