Individual provider Active NPI

Sichana Hunter-Jean, LCSW

  • Social Worker
  • Gulfport, MS
National Provider Identifier
1114135811
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
M5853 Issued in MS
Practice address
4904 Chamberlain Ave
Gulfport, MS 39507-4345
Phone
(228) 679-9738
NPI assigned
May 18, 2007
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X M5853 MS Primary

Addresses

Primary practice location

4904 Chamberlain Ave
Gulfport, MS 39507-4345

Mailing address

4904 Chamberlain Ave
Gulfport, MS 39507-4345
Phone (228) 679-9738

Other practice location 1

770 Water St Ste 448
Biloxi, MS 39530-4220
Phone (601) 402-4226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240814004113 MS Practitioner - Clinical Social Worker 8325586878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rise Psychotherapy and Family Support Services, PLLCGroup PAC ID 7416495965, 2 clinicians

Practice addresses (Care Compare)

770 Water St
Biloxi, MS 39530-4220
Phone (228) 679-9738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M5853MSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Psychotherapy and Family Support Services, PLLC CurrentSince Jul 27, 2024 Accepting new patients

Locations

770 Water St
Ste 305
Biloxi, MS 39530
Phone (228) 679-9738

770 Water St
Ste 448
Biloxi, MS 39530
Phone (228) 679-9738

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1114135811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 CHAMBERLAIN AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395074345",
            "telephone_number": "228-679-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 CHAMBERLAIN AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395074345",
            "telephone_number": "228-679-9738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Water St Ste 448",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395304220",
            "country_code": "US",
            "telephone_number": "601-402-4226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNTER-JEAN",
        "first_name": "SICHANA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2024-06-25",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "M5853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.