Active NPI
Raymond Monsour Scurfield, MSW, DSW
- Clinical Social Worker
- Gulfport, MS
National Provider Identifier
1285929406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C6013
- Practice address
- 1403 43Rd Ave
Gulfport, MS 39501 - Phone
- (228) 897-7730
- NPI assigned
- Jun 15, 2011
- Last updated
- Jul 30, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C6013 | MS | Primary |
Addresses
Primary practice location
1403 43Rd Ave
Gulfport, MS 39501
Mailing address
15465 Oak LN Ste 100G
Gulfport, MS 39503-2663
Phone (228) 314-3626
Other practice location 1
1403 43rd Ave
Gulfport, MS 39501-2545
Phone (228) 897-7730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08186200 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Raymond Monsour Scurfield, LLC | 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.
-
- Community/Behavioral Health Agency
- Gulfport, MS
- NPI 1306343173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1285929406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15465 OAK LN STE 100G",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395032663",
"telephone_number": "228-314-3626",
"fax_number": "228-314-3141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1403 43RD AVE",
"city": "GULFPORT",
"state": "MS",
"postal_code": "39501",
"telephone_number": "228-897-7730"
}
],
"practiceLocations": [
{
"address_1": "1403 43rd Ave",
"address_purpose": "LOCATION",
"city": "Gulfport",
"state": "MS",
"postal_code": "395012545",
"country_code": "US",
"telephone_number": "228-897-7730",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCURFIELD",
"first_name": "RAYMOND",
"middle_name": "MONSOUR",
"name_prefix": "Dr.",
"credential": "MSW, DSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-15",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C6013",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08186200",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.