Organization Active NPI

Catholic Social & Community Services

Doing business as Catholic Charities of South Mississippi

  • Clinical Social Worker
  • Gulfport, MS
National Provider Identifier
1033844592
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CATHOLIC SOCIAL & COMMUNITY SERVICES
Doing business as
Catholic Charities of South Mississippi
Practice address
1450 North St
Gulfport, MS 39507-2103
Phone
(228) 219-5995
NPI assigned
Jul 19, 2022
Last updated
Aug 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michelle Eleuterius, LCSWNPI 1497969315
Title
Social Worker
Phone
(228) 219-5995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1450 North St
Gulfport, MS 39507-2103

Mailing address

1450 North St
Gulfport, MS 39507-2103

Other names 1

  • Catholic Charities of South Mississippi Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220808002979 MS Part B Supplier - Clinic/Group Practice 5890177885 Receives reassigned benefits from 1 practitioner
Practice locations: Gulfport, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D0319423Catholic Charities of South Mississippi1450 North St, Gulfport, MS 39507Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1450 North St
Gulfport, MS 39507
Phone (228) 219-5995

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1033844592",
    "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": {
        "organization_name": "CATHOLIC SOCIAL & COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "ELEUTERIUS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "228-219-5995",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Charities of South Mississippi",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Catholic Charities of South Mississippi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.