Amy Gaines, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C7464 Issued in MS

Practice address

225 E Minnesota St
Brookhaven, MS 39601-3833

Phone

(601) 937-2041

Fax

(855) 845-7341

NPI assigned

Jan 9, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mississippi Families for Kids

  • Community/Behavioral Health Agency
  • Jackson, MS
  • NPI 1578751723
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1295072338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 PINE VIEW CIR",
            "city": "FLORA",
            "state": "MS",
            "postal_code": "390719608",
            "telephone_number": "601-937-2041",
            "fax_number": "855-845-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E MINNESOTA ST",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396013833",
            "telephone_number": "601-937-2041",
            "fax_number": "855-845-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-09",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C7464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kline Foster
• Freds Stores of Tennessee Inc (Freds Pharmacy 1171)
• Ellisann Claire McInnis Freeman, OTR/L
• Karen Wallace Freeman, PHARM.D.
• Fresenius Medical Care East McComb Dialysis, LLC (Fresenius Kidney Care Brookhaven)
• Emily Catherine Gandenberger, CPNP-PC
• Joseph Phillip Garbo, DPM
• Abby Furr Garcia, PHARM D.
• Caycee Garrett, NP
• Letisha A. Garth-Villes, APRN

• Clinical Social Worker in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.