Billy Foster, LCSW, NCC AP MAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C6203 Issued in MS

Practice address

109 Alfred Dr
Vicksburg, MS 39180-9147

Phone

(601) 415-9424

NPI assigned

Apr 15, 2020

Last updated

Apr 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1174142574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ALFRED DR",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391809147",
            "telephone_number": "601-415-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 ALFRED DR",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391809147",
            "telephone_number": "601-415-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "BILLY",
        "name_prefix": "Mr.",
        "credential": "LCSW, NCC AP MAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C6203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Flowers, PMHNP-BC
• Baleigh Ford, PA-C
• John R Ford, MS
• Johnny Reshaun Forest Sr.
• Carla I Forte
• David Foster, LPC
• Rachel Foster
• Portia Fouche' Martin
• Brittany Fowler, PHARMD
• Walter Lee Frazier, MCP, LPC, NCC

• Clinical Social Worker in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.