Individual provider Active NPI

Alicia Norris

  • Clinical Social Worker
  • Natchez, MS
National Provider Identifier
1194193474
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C8688 Issued in MS
Practice address
101 Saint Charles Ave
Natchez, MS 39120-3557
Phone
(601) 446-2419
Fax
(601) 443-2359
NPI assigned
Sep 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X M8688 MS
Clinical Social Worker 1041C0700X C8688 MS Primary

Addresses

Primary practice location

101 Saint Charles Ave
Natchez, MS 39120-3557

Mailing address

101 Saint Charles Ave
Natchez, MS 39120-3557
Phone (601) 446-2419

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191107002050 MS Practitioner - Clinical Social Worker 8921335134 Reassigns benefits to 1 organization
Practice locations: Natchez, MS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

701 Franklin St
Natchez, MS 39120-3313
Phone (601) 446-2419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shareevolution Behavioral Health & Wellness LLC Social Worker CurrentSince Mar 5, 2022 Accepting new patients
SW Ms Mental Health Mental Retardation Commission PastSince Jul 1, 2005 Accepting new patients
Southwest Mississippi Mental Health Mental Retardation Commission Social Worker Past Accepting new patients

Locations

107 N Martin Luther King Jr St
Natchez, MS 39120
Phone (601) 442-7676

701 Franklin St
Natchez, MS 39120
Phone (320) 290-6448

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1194193474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SAINT CHARLES AVE",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391203557",
            "telephone_number": "601-446-2419",
            "fax_number": "601-249-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SAINT CHARLES AVE",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391203557",
            "telephone_number": "601-446-2419",
            "fax_number": "601-443-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "M8688",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C8688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

Verify at the official NPI Registry.