Active NPI
Juliet Liuzza
- Clinical Social Worker
- Gulfport, MS
National Provider Identifier
1023853058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- M16055
- Practice address
- 1450 North St
Gulfport, MS 39507-2103 - Phone
- (228) 219-5995
- NPI assigned
- Jul 1, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | M16055 | MS | Primary |
Addresses
Primary practice location
1450 North St
Gulfport, MS 39507-2103
Mailing address
1450 North St
Gulfport, MS 39507-2103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M16055 | MS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Social & Community Services | Clinical | Current | Accepting new patients |
Locations
1450 North St
Gulfport, MS 39507
Phone (228) 219-5995
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Gulfport, MS
- NPI 1033844592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1023853058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 NORTH ST",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395072103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 NORTH ST",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395072103",
"telephone_number": "228-219-5995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIUZZA",
"first_name": "JULIET",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-01",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "M16055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.