Organization Active NPI

Stephanie Spears, LCSW, PLLC

  • Clinical Social Worker
  • McComb, MS
National Provider Identifier
1194376012
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Sep 23, 2019

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Direct Messaging Address support@counselingforallseasons.com

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.