Active NPI
David Y Hastings, LCSW
- Clinical Social Worker
- Jackson, MS
National Provider Identifier
1053486597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C6693
- Practice address
- 248 E Capitol St
840 Trust Mark BLDG
Jackson, MS 39201-2503 - Phone
- (800) 632-6074
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- 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 | C6693 | MS | Primary |
Addresses
Primary practice location
248 E Capitol St
840 Trust Mark BLDG
Jackson, MS 39201-2503
Mailing address
PO Box 10414
Largo, FL 33773-0414
Phone (800) 632-6074
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Region Seven Mental Health Intellectual Disabilities Comm | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Point, MS
- NPI 1700894730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1053486597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10414",
"city": "LARGO",
"state": "FL",
"postal_code": "337730414",
"telephone_number": "800-632-6074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 E CAPITOL ST",
"address_2": "840 TRUST MARK BLDG",
"city": "JACKSON",
"state": "MS",
"postal_code": "392012503",
"telephone_number": "800-632-6074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASTINGS",
"first_name": "DAVID",
"middle_name": "Y",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C6693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.