Organization Active NPI

Maureen Cianci

  • Clinical Social Worker
  • Picayune, MS
National Provider Identifier
1073708384
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C7306 Issued in MS
Legal business name
MAUREEN CIANCI
Practice address
210 Mitchell St
Picayune, MS 39466-4540
Phone
(601) 799-5886
Fax
(601) 799-3536
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Pamela M. Cross
Title
Executive Director
Phone
(601) 799-5886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X C7306 MS Primary

Addresses

Primary practice location

210 Mitchell St
Picayune, MS 39466-4540

Mailing address

PO Box 1789
Picayune, MS 39466-1789
Phone (601) 799-5886

Other identifiers 1

IdentifierTypeStateIssuer
06188580MedicaidMS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1073708384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1789",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394661789",
            "telephone_number": "601-799-5886",
            "fax_number": "601-799-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MITCHELL ST",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394664540",
            "telephone_number": "601-799-5886",
            "fax_number": "601-799-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUREEN CIANCI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "601-799-5886"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C7306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06188580",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Picayune, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.