Active NPI
Sylvia Sessions Stogner, LCSW
- Clinical Social Worker
- Tylertown, MS
National Provider Identifier
1164436838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C2589
- Practice address
- 729 Beulah Ave
Tylertown, MS 39667-2709 - Phone
- (601) 876-2611
- Fax
- (601) 876-4379
- NPI assigned
- Jul 28, 2006
- Last updated
- Feb 17, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C2589 | MS | Primary |
Addresses
Primary practice location
729 Beulah Ave
Tylertown, MS 39667-2709
Mailing address
48 Old Settlement Rd
Tylertown, MS 39667-4977
Phone (601) 876-2611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06687044 | Medicaid | MS |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2589 | MS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walthall County Behavioral Services | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Current | Accepting new patients |
Locations
232 Market St
Jackson, MS 39232
Phone (588) 498-6767
125 Old State Line Rd
Tylertown, MS 39667
Phone (601) 303-0472
Organizations & group practices 2
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.
-
- Social Worker
- Tylertown, MS
- NPI 1770348153
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
MS
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266364800000",
"number": "1164436838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 OLD SETTLEMENT RD",
"city": "TYLERTOWN",
"state": "MS",
"postal_code": "396674977",
"telephone_number": "601-876-2611",
"fax_number": "601-876-4379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 BEULAH AVE",
"city": "TYLERTOWN",
"state": "MS",
"postal_code": "396672709",
"telephone_number": "601-876-2611",
"fax_number": "601-876-4379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOGNER",
"first_name": "SYLVIA",
"middle_name": "SESSIONS",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2010-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C2589",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06687044",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tylertown, MS
- Smith Lab Testing LLC
- Southern Digestive Health Center,LLC
- Southern Remedy Family Medicine
- Southwest Health Agency for Rural People, Inc. (SHARP, Inc)
- Southwest Pharmacy Inc (Guy's Pharmacy of Tylertown)
- Symphony Respiratory Services (Golden Care of Tylertown)
- Thomas Drug Company (Brumfields Drugs)
- Nutrecia Thompson
- Tylertown Surgical Associates
- Walthal Rural Health Clinic (Tylertown Internal Medicine Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.