Active NPI
Stephanie Spears, LCSW, PLLC
- Clinical Social Worker
- McComb, MS
National Provider Identifier
1194376012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- STEPHANIE SPEARS, LCSW, PLLC
- Practice address
- 300 Rawls Dr Ste 900
McComb, MS 39648-2864 - Phone
- (601) 730-4401
- NPI assigned
- Sep 23, 2019
- 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 Green
- Title
- Billing Manager
- Phone
- (601) 835-3306
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
300 Rawls Dr Ste 900
McComb, MS 39648-2864
Mailing address
PO Box 428
Summit, MS 39666-0428
Phone (601) 730-4401
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | support@counselingforallseasons.com |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569196800000",
"number": "1194376012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 428",
"city": "SUMMIT",
"state": "MS",
"postal_code": "396660428",
"telephone_number": "601-730-4401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 RAWLS DR STE 900",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396482864",
"telephone_number": "601-730-4401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHANIE SPEARS, LCSW, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-23",
"last_updated": "2019-09-23",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "BECKY",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "601-835-3306"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "support@counselingforallseasons.com",
"affiliation": "N",
"address_1": "300 Rawls Dr Ste 900",
"city": "McComb",
"state": "MS",
"country_code": "US",
"postal_code": "396482864",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.