Individual provider Active NPI

Raymond Monsour Scurfield, MSW, DSW

  • Clinical Social Worker
  • Gulfport, MS
National Provider Identifier
1285929406
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C6013 Issued in MS
Practice address
1403 43Rd Ave
Gulfport, MS 39501
Phone
(228) 897-7730
NPI assigned
Jun 15, 2011
Last updated
Jul 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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 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

IdentifierTypeStateIssuer
08186200MedicaidMS

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

OrganizationSpecialtyStatusNew patients
Dr. Raymond Monsour Scurfield, LLC PastSince Jul 1, 2018 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": "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.

Verify at the official NPI Registry.