Active NPI
Chris M Huff LCSW PLLC
- Clinical Social Worker
- McComb, MS
National Provider Identifier
1184057556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C5077
- Legal business name
- CHRIS M HUFF LCSW PLLC
- Practice address
- 420 Delaware Ave
McComb, MS 39648-4021 - Phone
- (601) 209-6345
- Fax
- (601) 835-3342
- NPI assigned
- Aug 20, 2013
- Last updated
- Nov 8, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Becky S Green
- Title
- Billing Manager
- Phone
- (601) 835-3114
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C5077 | MS | Primary |
Addresses
Primary practice location
420 Delaware Ave
McComb, MS 39648-4021
Mailing address
PO Box 3128
Brookhaven, MS 39603-7128
Phone (601) 835-3114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05086859 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131101001016 | MS | Part B Supplier - Clinic/Group Practice | 7618102476 | Practice locations: Brookhaven, MS; Jackson, MS; McComb, MS |
National Provider Directory
National Provider DirectoryLocations
115 N Cleveland Ave
#M
Brookhaven, MS 39601
Phone (601) 835-3306
420 Delaware Ave
McComb, MS 39648
Phone (601) 209-6345
420 Delaware Ave
#M
McComb, MS 39648
Phone (601) 684-4009
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Social Worker
- McComb, MS
- NPI 1679722904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383868800000",
"number": "1184057556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3128",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "396037128",
"telephone_number": "601-835-3114",
"fax_number": "601-835-3342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 DELAWARE AVE",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396484021",
"telephone_number": "601-209-6345",
"fax_number": "601-835-3342"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRIS M HUFF LCSW PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-20",
"last_updated": "2013-11-08",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "BECKY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "601-835-3114"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C5077",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05086859",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McComb, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.