MARTIA MOFFETT (NPI# 1386154243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386154243 |
| Entity Type | Individual |
| Full Name | MARTIA MOFFETT |
| Credential | LCSW |
| Practice Address |
62 Old Airport Rd Hattiesburg MS 39401-8382 |
| Mailing Address |
Po Box 1729 Hattiesburg MS 39403-1729 |
| Practice Telephone | 6015444550 |
| Practice Fax Number | 6015823373 |
| Mailing Telephone | 6015458700 |
| Mailing Fax Number | 6014502493 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | C3718 | MS | Behavioral Health & Social Service Providers |
| Street Address |
62 OLD AIRPORT RD |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401-8382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821093691 | John Michael Woods | Obstetrics & Gynecology | 62 Old Airport Rd, Hattiesburg, MS 39401 | 2005-06-16 |
| 1427556349 | Candace Johnson | Nurse Practitioner | 62 Old Airport Rd, Hattiesburg, MS 39401-8382 | 2018-01-25 |
| 1871927517 | Southeast Mississippi Rural Health Initiative, Inc. | Pharmacy | 62 Old Airport Rd, Hattiesburg, MS 39401-8382 | 2013-08-29 |
| 1831167998 | Southeast Mississippi Rural Health Initiative, Inc. | Clinic/Center | 62 Old Airport Rd, Hattiesburg, MS 39401-8382 | 2006-03-14 |
| 1306819891 | Eugene Linwood Shannon | Obstetrics & Gynecology | 62 Old Airport Rd, Hattiesburg, MS 39401-8382 | 2006-02-07 |
| 1588637052 | Arthur Dean Cromartie | Obstetrics & Gynecology | 62 Old Airport Rd, Hattiesburg, MS 39401-8382 | 2006-02-07 |
| 1881675312 | Hilda J Mcgee | Obstetrics & Gynecology | 62 Old Airport Rd, Hattiesburg, MS 39401-8382 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| 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 |
|---|---|---|---|---|
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1265955090 | Brandi Hatton | Social Worker | 701 W Pine St, Hattiesburg, MS 39401-3837 | 2017-07-24 |
| 1306202452 | Laurie Ellen Risher | Social Worker | 208 Alcorn Ave, Hattiesburg, MS 39401-2756 | 2016-01-05 |
| 1831797406 | Crawford & Crawford Counseling | Social Worker | 34 Millbranch Rd Ste 60, Hattiesburg, MS 39402-1687 | 2020-10-15 |
| 1336759299 | Tiah Boyd | Social Worker | 11 Woodstone Plz Ste D, Hattiesburg, MS 39402-8342 | 2020-08-05 |
| 1689229890 | Jasmine Naylor | Social Worker | 11 Woodstone Plz Ste D, Hattiesburg, MS 39402-8342 | 2019-08-05 |
| 1609429083 | Emily Goff Dixon | Social Worker | 415 S 28th Ave Fl 1, Hattiesburg, MS 39401-7246 | 2019-07-24 |
| 1487163382 | Hiroko Swanigan | Social Worker | 105 Asbury Cir, Hattiesburg, MS 39402-1397 | 2017-09-22 |
| 1912420720 | Katelin Holmes | Social Worker | 103 S 19th Ave, Hattiesburg, MS 39401-6171 | 2017-07-24 |
| 1275056095 | Tara Walker | Social Worker | 701 W Pine St, Hattiesburg, MS 39401-3837 | 2017-07-24 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39401 |
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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.