Individual provider Active NPI

Carley Preslar, MSW

  • Social Worker
  • Ridgeland, MS
National Provider Identifier
1063928299
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
M9105 Issued in MS
Practice address
357 Towne Center PL Ste 100
Ridgeland, MS 39157-4837
Phone
(601) 952-0894
Fax
(601) 952-0836
NPI assigned
Dec 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X M9105 MS Primary

Addresses

Primary practice location

357 Towne Center PL Ste 100
Ridgeland, MS 39157-4837

Mailing address

357 Towne Center PL Ste 100
Ridgeland, MS 39157-4837
Phone (601) 952-0894

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

LicenseStateTypeSpecialty
M9105MSMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514246400000",
    "number": "1063928299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 TOWNE CENTER PL STE 100",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574837",
            "telephone_number": "601-952-0894",
            "fax_number": "601-952-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 TOWNE CENTER PL STE 100",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574837",
            "telephone_number": "601-952-0894",
            "fax_number": "601-952-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESLAR",
        "first_name": "CARLEY",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-26",
        "last_updated": "2017-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MS",
            "license": "M9105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; 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.