Individual provider Active NPI

Alma J Burrell, LCSW

  • Clinical Social Worker
  • Diamondhead, MS
National Provider Identifier
1245038389
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C11306 Issued in MS
Practice address
4321 Leisure Time Dr
Diamondhead, MS 39525-3200
Phone
(228) 342-5776
NPI assigned
Mar 5, 2025
Last updated
Mar 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C11306 MS Primary
Clinical Social Worker 1041C0700X 18613 LA

Addresses

Primary practice location

4321 Leisure Time Dr
Diamondhead, MS 39525-3200

Mailing address

4321 Leisure Time Dr
Diamondhead, MS 39525-3200
Phone (228) 342-5776

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
I20250916000232 MS Practitioner - Clinical Social Worker 1658875596 Reassigns benefits to 1 organization
Practice locations: Waveland, MS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

308 Hwy 90
Suite I
Waveland, MS 39576-2676
Phone (601) 385-5674

500 Westover Dr
Sanford, NC 27330-8941

PO Box
Suite 2061
Bay St Louis, MS 39521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18613LAMDClinical Social Worker
C11306MSMDClinical Social Worker

Organizations & group practices 1

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": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1245038389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 LEISURE TIME DR",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395253200",
            "telephone_number": "228-342-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 LEISURE TIME DR",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395253200",
            "telephone_number": "228-342-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "ALMA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C11306",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "18613",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamondhead, MS

Sources for this page

Verify at the official NPI Registry.