Individual provider Active NPI

Karen Lynn Seymour, LCSW

  • Clinical Social Worker
  • Biloxi, MS
National Provider Identifier
1275637555
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C6236 Issued in MS
Practice address
1907 Pass Road Suite G
Biloxi, MS 39531-4101
Phone
(228) 861-9877
Fax
(228) 594-9012
NPI assigned
Sep 8, 2006
Last updated
May 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C6236 MS Primary

Addresses

Primary practice location

1907 Pass Road Suite G
Biloxi, MS 39531-4101

Mailing address

2555 River Place Blvd
Biloxi, MS 39531-2752
Phone (228) 861-9877

Other practice location 1

2555 River Place Blvd
Biloxi, MS 39531-2752
Phone (228) 861-9877

Other identifiers 3

IdentifierTypeStateIssuer
00124857MedicaidMS
2073782OtherMSMS BCBS
003800546MedicaidMS

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
I20070628000191 MS Practitioner - Clinical Social Worker 6204935422 Practice locations: Biloxi, MS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

925 Tommy Munro Dr
F1
Biloxi, MS 39532-2134
Phone (228) 861-9877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A Path to Healing, PLLC Clinical Past Accepting new patients

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1275637555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 RIVER PLACE BLVD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312752",
            "telephone_number": "228-861-9877",
            "fax_number": "228-594-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 PASS ROAD SUITE G",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314101",
            "telephone_number": "228-861-9877",
            "fax_number": "228-594-9012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2555 River Place Blvd",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395312752",
            "country_code": "US",
            "telephone_number": "228-861-9877",
            "fax_number": "228-594-9012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C6236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00124857",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS BCBS",
            "identifier": "2073782",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003800546",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.