Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Saja B Mboge

Individual provider Clinical Social Worker · NPI 1063096469

Saja B Mboge is a Clinical Social Worker in Southaven, Mississippi. Qualified in 2011, 15 years ago. Licensed in Delaware.

Years since qualifying
15
Licensed in
DE
In the registry since
2021
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Practice location Address checks out

340 Stateline Rd W
Southaven, MS 38671-1610
Phone: (662) 510-5387
Fax: (662) 342-0782
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence Q3-0010588 (DE)

Record details

NPI number1063096469
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 11, 2021
Last updated in NPPESMay 11, 2021
Certification dateMay 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

Other providers in Southaven