MR. EDWARD SEAN MCQUILLING (NPI# 1336532852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336532852 |
| Entity Type | Individual |
| Full Name | MR. EDWARD SEAN MCQUILLING |
| Credential | LMSW |
| Practice Address |
2214 25th Ave Ste 4 Gulfport MS 39501-4520 |
| Mailing Address |
11975 Seaway Rd Ste A230 Gulfport MS 39503-6247 |
| Practice Telephone | 7077285131 |
| Practice Fax Number | 8554911095 |
| Mailing Telephone | 2288634992 |
| Mailing Fax Number | 2287010212 |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2018-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | M7893 | MS | Behavioral Health & Social Service Providers |
| Street Address |
2214 25TH AVE STE 4 |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-4520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043634975 | Darrin Harris | Counselor | 2214 25th Ave, Unit 1, Gulfport, MS 39501-4520 | 2014-02-12 |
| 1679972715 | Ekhaya, LLC | Community/Behavioral Health | 2214 25th Ave, Unit 101, Gulfport, MS 39501-4520 | 2014-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| Find all providers in zip 39501 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417579137 | Jariva King | Social Worker | 9245 Cuandet Rd Apt 96, Gulfport, MS 39503-4763 | 2020-05-15 |
| 1942716212 | Jillian Nunez | Social Worker | 302 Courthouse Rd Ste G, Gulfport, MS 39507-1890 | 2017-12-21 |
| 1275046393 | Christina Fingerle | Social Worker | 15094 County Barn Rd, Gulfport, MS 39503-4200 | 2017-11-11 |
| 1255843421 | Rachelle Maxie Johns | Social Worker | 43 55th St, Gulfport, MS 39507-4616 | 2017-10-27 |
| 1245753201 | Kara Massie | Social Worker | 3415b Washington Ave, Gulfport, MS 39507-3039 | 2017-07-21 |
| 1972037588 | Jacqueline Norrine Hatcher | Social Worker | 1520 29th Ave Ste 8, Gulfport, MS 39501-2843 | 2017-04-20 |
| 1205203262 | Beverly B Ferguson | Social Worker | 15876 Walker Farm Ln, Gulfport, MS 39503-6600 | 2015-08-26 |
| 1962895664 | Holly Regan | Social Worker | 12320 Ashley Dr, Ste D, Gulfport, MS 39503-2550 | 2015-03-05 |
| 1932509569 | Alison Rollinson | Social Worker | 15235 Oneal Rd, Apt. 9e, Gulfport, MS 39503-3221 | 2014-09-02 |
| 1316176126 | Debra Lynne Deas | Social Worker | 1600 Broad Avenue, Gulfport, MS 39501-3606 | 2009-07-14 |
| Find all providers in GULFPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.