Anna Adcock, LCSW
Individual provider Active NPI Clinical Social Worker · Vicksburg, MS
NPI 1033866835 · NPPES record last updated Mar 2, 2022
Key facts
- NPI
- 1033866835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C6982 (MS)
- Practice address
- 1911 Mission 66 Ste B
Vicksburg, MS 39180-3762 - Phone
- (601) 665-4162
- Fax
- (855) 830-3484
- NPI assigned
- Mar 2, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Uppal Medical Center LLC
Practice addresses (Care Compare)
1727 E Union St
Greenville, MS 38703-3253
Phone (662) 537-4830
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240515003061 | MS | Practitioner - Clinical Social Worker | 4385085802 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C6982 | MS | MD | Clinical Social Worker |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uppal Medical Center LLC | Current |
Accepting new patients | |
| MDB Behavioral Health Services LLC | Current |
Accepting new patients |
Locations
557 Grants Ferry Rd
Brandon, MS 39047
Phone (601) 207-2017
1727 E Union St
Greenville, MS 38703
Phone (662) 332-0373
215 Katherine Dr
#A
Jackson, MS 39232
Networks
- LA PPO C-SNP
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C6982 | MS | Yes |
Addresses
Primary practice location
1911 Mission 66 Ste B
Vicksburg, MS 39180-3762
Mailing address
557 Grants Ferry Rd
Brandon, MS 39047-9023
Phone (601) 665-4162
Other providers in Vicksburg, MS
- George Abraham
- Michael Abraham
- Robert M Abraham
- Billy Wayne Adams Sr.
- Jerri Adams
- Trisha Addison
- Dion Adkins
- Sherrunda Adkins
- Sheree Ahlvin
- Mohammad A. Ahmed
All providers in Vicksburg, MS · Clinical Social Worker in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.