Active NPI
Estelle William Mack Nail Jr., LMSW
- Social Worker
- Ocean Springs, MS
National Provider Identifier
1306270780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 57248
- Practice address
- 101 Braeburn Dr
Ocean Springs, MS 39564-9040 - Phone
- (254) 230-2078
- NPI assigned
- Aug 21, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 57248 | TX | Primary |
Addresses
Primary practice location
101 Braeburn Dr
Ocean Springs, MS 39564-9040
Mailing address
400 Veterans Ave
Biloxi, MS 39531-2410
Phone (228) 523-5000
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57248 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377043200000",
"number": "1306270780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 VETERANS AVE",
"city": "BILOXI",
"state": "MS",
"postal_code": "395312410",
"telephone_number": "228-523-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BRAEBURN DR",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395649040",
"telephone_number": "254-230-2078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIL",
"first_name": "ESTELLE",
"middle_name": "WILLIAM MACK",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-21",
"last_updated": "2013-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "57248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocean Springs, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.