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SAJA B MBOGE
NPI 1063096469
Social Worker - Clinical in Southaven, MS

Active since May 11, 2021PECOS Enrolled
340 STATELINE RD W, SOUTHAVEN, MS 38671(662) 510-5387(662) 342-0782 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Saja B Mboge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAJA B MBOGE (NPI 1063096469) is an individual clinical provider in Southaven, Mississippi, licensed in Delaware (Q3-0010588) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1063096469
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSAJA B MBOGE
Location Address340 STATELINE RD WSouthaven, MS 38671-1610
Mailing Address9216 Speerberry LnCordova, TN 38016-0900 · (901) 425-8432
Phone(662) 510-5387
Fax(662) 342-0782
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 11, 2021
NPPES CertifiedMay 11, 2021
✔ NPI 1063096469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in DE · Q3-0010588
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
340 STATELINE RD W, Southaven, MS 38671
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Saja B Mboge is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204311681
PECOS Enrollment IDI20260402003498, I20260506004190
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38671 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $51.65 – $159.18
Typical copayment $0.00 (range $12.91 – $39.79)
Most-billed visit code NA
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA MARIE MCCAFFERTY
Social Worker
340 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (901) 834-1146
RAVEN KIARA LEE LPN
Licensed Practical Nurse
340 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 579-3955
DAPHANE BROWN
Licensed Practical Nurse
340 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (661) 510-5387
BRITTANY LEAFAYE MCKINNEY LCSW
Social Worker (Clinical)
340 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 579-3955
CASHANDRA L HOOPER
Registered Nurse (Addiction (Substance Use Disorder))
340 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 579-3955
STEVEN A SMITH
Counselor (Mental Health)
340 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (615) 417-9894
ADDICTION CAMPUSES OF MISSISSIPPI, LLC
Substance Abuse Rehabilitation Facility
340 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 510-5387
OLIVIA JANE BALL PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
340 STATELINE RD W
SOUTHAVEN, MS 38671
Desoto County (662) 579-3955

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Saja Mboge's NPI number?

The NPI number for Saja Mboge is 1063096469. It was assigned to this individual provider in the NPPES registry on May 11, 2021.

Where is Saja Mboge located?

Saja Mboge practices at 340 Stateline Rd W, Southaven, MS 38671. The listed phone number is (662) 510-5387.

What is Saja Mboge's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Saja Mboge enrolled in Medicare?

Yes. Saja Mboge is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Saja Mboge was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.