Organization Active NPI

Bethany Christian Services

  • Social Worker
  • Jackson, MS
National Provider Identifier
1144656943
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
M0518 Issued in MS
Legal business name
BETHANY CHRISTIAN SERVICES
Practice address
2624 Southerland St
Jackson, MS 39216-4825
Phone
(601) 366-4282
Fax
(601) 366-4287
NPI assigned
Sep 25, 2013
Last updated
Sep 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Authorized official

Name
Karen Stewart, LMSWNPI 1487087607
Title
Branch Director
Phone
(601) 366-4282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X M0518 MS Primary

Addresses

Primary practice location

2624 Southerland St
Jackson, MS 39216-4825

Mailing address

2624 Southerland St
Jackson, MS 39216-4825
Phone (601) 366-4282

National Provider Directory

National Provider Directory

Locations

2624 Southerland St
Jackson, MS 39216
Phone (601) 366-4282

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1144656943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 SOUTHERLAND ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164825",
            "telephone_number": "601-366-4282",
            "fax_number": "601-366-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 SOUTHERLAND ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164825",
            "telephone_number": "601-366-4282",
            "fax_number": "601-366-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY CHRISTIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "BRANCH DIRECTOR",
        "authorized_official_telephone_number": "601-366-4282",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MS",
            "license": "M0518",
            "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 Sep 25, 2013; 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.