Priscilla Pearson, LCSW, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PRISCILLA PEARSON, LCSW, INC.

Practice address

840 E River PL
Suite 504
Jackson, MS 39202-3493

Phone

(601) 355-2060

Fax

(601) 969-7160

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Priscilla Pearson, L.C.S.W.

Title

President

Phone

(601) 355-2060

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1184797680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E RIVER PL",
            "address_2": "SUITE 504",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392023493",
            "telephone_number": "601-355-2060",
            "fax_number": "601-969-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E RIVER PL",
            "address_2": "SUITE 504",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392023493",
            "telephone_number": "601-355-2060",
            "fax_number": "601-969-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISCILLA PEARSON, LCSW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-355-2060",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09203336",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Jackson, MS
• Providers in Jackson, 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 Jan 24, 2011; 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.