MISSISSIPPI PROFESSIONAL COUNSELING ASSOCIATES (NPI# 1770995938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770995938 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI PROFESSIONAL COUNSELING ASSOCIATES |
| Practice Address |
356a East Oxford Street Pontotoc MS 38863 |
| Mailing Address |
63 Kitchens Ln Ecru MS 38841-5502 |
| Practice Telephone | 6623219145 |
| Practice Fax Number | 6624889154 |
| Mailing Telephone | 6623219145 |
| Mailing Fax Number | 6624889154 |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |
| Authorized Official Name | MRS. ROBIN ROBBINS SMITH (LCSW, OWNER) |
| Authorized Official Telephone | 6623219145 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C-2045 | MS | Behavioral Health & Social Service Providers |
| Street Address |
356A EAST OXFORD STREET |
| City | PONTOTOC |
| State | MS |
| Zip Code | 38863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003429176 | Erik Goodwin | Chiropractor | 1 Goodwin Drive, Pontotoc, MS 38863 | 2020-08-28 |
| 1003455379 | Billie Jay Holloway | Technician | 1357 Hwy 9 South, Pontotoc, MS 38863 | 2020-01-03 |
| 1689185597 | Southern Physical and Aquatic Therapy, P.a. | Clinic/Center | 369 Peoples Drive, Pontotoc, MS 38863 | 2017-10-18 |
| 1699290460 | Jamie Michelle Holloway | Nurse Practitioner | 1374 Cooke Road, Pontotoc, MS 38863 | 2017-08-13 |
| 1235673351 | Carla Chism | Speech-Language Pathologist | 2564 Highway 345, Pontotoc, MS 38863 | 2016-12-08 |
| 1669924379 | Stephanie N Watson | Nurse Practitioner | 351 Peoples Dr. # A, Pontotoc, MS 38863 | 2016-10-28 |
| 1003285461 | Timothy R Watson | Nurse Practitioner | Acute Care and Family Clininc 351 Peoples Dr, 351 Peoples Dr, Pontotoc, MS 38863 | 2015-09-16 |
| 1376852525 | Kenneth E Prewett | Pharmacist | 170 Highway 15 N, Pontotoc, MS 38863 | 2010-10-05 |
| 1801105051 | Thomas Keith Guntharp | Pharmacist | 170 Highway 15 North, Pontotoc, MS 38863 | 2010-10-05 |
| 1851618193 | Pilar Gonzalez | Social Worker | 241-a County Road 501, Ripley, MS 38863 | 2010-04-27 |
| Find all providers in zip 38863 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225442239 | Tabatha Enis | Social Worker | 399 Old Highway 15 N, Pontotoc, MS 38863-1111 | 2014-06-17 |
| 1407299209 | Elizabeth Love Mcgillivray | Social Worker | 356 E Oxford St, Pontotoc, MS 38863-2314 | 2013-04-10 |
| 1578837597 | Jo Baker | Social Worker | 358 E Oxford St, Pontotoc, MS 38863-2326 | 2012-03-08 |
| 1982811535 | Rose D. Roberts | Social Worker | 19 W. Reynolds Street, 1088, Pontotoc, MS 38863-1088 | 2007-05-16 |
| 1902963002 | Robin Robbins Smith | Social Worker | 356a East Oxford St., Pontotoc, MS 38863 | 2007-01-02 |
| 1346206307 | Hannah Gaskin Boatright | Social Worker | 133 N Main St, Pontotoc, MS 38863-2103 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657519 | Alana B. Williams | Social Worker | 527 Mockingbird Dr, Long Beach, MS 39560-3118 | 2020-10-20 |
| 1962019745 | Jennifer Baker Sheridan | Social Worker | 615 W Pine St, Hattiesburg, MS 39401-3835 | 2020-09-25 |
| 1093321192 | Kristy Lynn Staten | Social Worker | 506 W Marion Ave Ste A, Crystal Springs, MS 39059-2720 | 2020-09-23 |
| 1760098487 | Dominique Yvette Thomatis-williams | Social Worker | 4 Creekwood Pl, Jackson, MS 39211-2929 | 2020-09-17 |
| 1134731102 | Vicki Arlene Blaize | Social Worker | 178 Pat Harrison St, Biloxi, MS 39530-3425 | 2020-08-20 |
| 1245842657 | Ladonna S Day | Social Worker | 105 Hogg Creek Dr Unit 321073, Flowood, MS 39232-3152 | 2020-08-18 |
| 1962012468 | Debra Diann Wuichet | Social Worker | 503 Maury Cir, Tupelo, MS 38801-4109 | 2020-08-09 |
| 1982214458 | Devin Ariel Williams | Social Worker | 1246 Beverly Hills Rd Apt 306, Hattiesburg, MS 39401-4483 | 2020-08-08 |
| 1770193559 | Brian Droubay | Social Worker | 703 Meadowlake Cv, Oxford, MS 38655-9662 | 2020-08-05 |
| 1386265601 | Dconstance Woodard | Social Worker | 117 Ashley Park Dr, Byram, MS 39272-6558 | 2020-04-27 |
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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.