Organization Active NPI

Copiah County Family Resource Center

  • Social Worker
  • Crystal Springs, MS
National Provider Identifier
1063742674
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
W4416 Issued in MS
Legal business name
COPIAH COUNTY FAMILY RESOURCE CENTER
Practice address
206 W Railroad Ave S
Crystal Springs, MS 39059-2772
Phone
(662) 289-6661
NPI assigned
Jan 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Authorized official

Name
Tricia Duncan
Title
Biller
Phone
(601) 878-6945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X W4416 MS Primary

Addresses

Primary practice location

206 W Railroad Ave S
Crystal Springs, MS 39059-2772

Mailing address

206 W Railroad Ave S
Crystal Springs, MS 39059-2772
Phone (662) 289-6661

National Provider Directory

National Provider Directory

Locations

206 W Railroad Ave S
Crystal Springs, MS 39059
Phone (601) 487-3797

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1063742674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W RAILROAD AVE S",
            "city": "CRYSTAL SPRINGS",
            "state": "MS",
            "postal_code": "390592772",
            "telephone_number": "662-289-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W RAILROAD AVE S",
            "city": "CRYSTAL SPRINGS",
            "state": "MS",
            "postal_code": "390592772",
            "telephone_number": "662-289-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPIAH COUNTY FAMILY RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "601-878-6945"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MS",
            "license": "W4416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.