Individual provider Active NPI

Rebekah Dess, DSW, LCSW

  • Social Worker
  • Long Beach, MS
National Provider Identifier
1194379313
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
C8723 Issued in MS
Practice address
4011 Beatline Rd Ste 9
Long Beach, MS 39560-4138
Phone
(228) 574-5628
Fax
(228) 367-4846
NPI assigned
Jul 25, 2019
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X C8723 MS Primary

Addresses

Primary practice location

4011 Beatline Rd Ste 9
Long Beach, MS 39560-4138

Mailing address

4011 Beatline Rd Ste 9
Long Beach, MS 39560-4138
Phone (228) 574-5628

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
I20220426002910 MS Practitioner - Clinical Social Worker 0749677573 Reassigns benefits to 2 organizations

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)

4011 Beatline Rd
Suite 9
Long Beach, MS 39560-4138
Phone (228) 574-5628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C8723MSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Clinic LLC Single Specialty CurrentSince Mar 1, 2022 Accepting new patients
The Healing Path, LLC Single Specialty CurrentSince May 17, 2024 Accepting new patients

Locations

4011 Beatline Rd
Ste 9
Long Beach, MS 39560
Phone (228) 332-0224

4013 Beatline Rd
#A
Long Beach, MS 39560
Phone (228) 200-0720

Organizations & group practices 2

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": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1194379313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 BEATLINE RD STE 9",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604138",
            "telephone_number": "228-574-5628",
            "fax_number": "228-367-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 BEATLINE RD STE 9",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604138",
            "telephone_number": "228-574-5628",
            "fax_number": "228-367-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESS",
        "first_name": "REBEKAH",
        "credential": "DSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "C8723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, MS

Sources for this page

Verify at the official NPI Registry.