Hannah Gaskin Boatright, LCSW
Individual provider Active NPI Clinical Social Worker · Pontotoc, MS
NPI 1346206307 · NPPES record last updated Jan 26, 2012
Key facts
- NPI
- 1346206307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C2948 (MS)
- Practice address
- 133 N Main St
Pontotoc, MS 38863-2103 - Phone
- (662) 419-2901
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2948 | MS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Counseling | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C2948 | MS | Yes |
Addresses
Primary practice location
133 N Main St
Pontotoc, MS 38863-2103
Mailing address
131 N Main St
Pontotoc, MS 38863-2103
Phone (662) 419-2901
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00116782 | Medicaid | MS |
Other providers in Pontotoc, MS
- Jo Baker
- Andrew Bell
- Brittany Lashae Bevill
- John Thomas Black Jr.
- Boa Vida Hospital of Aberdeen, Ms LLC
- Brittani Boatwright
- Monye Bowdry
- Breanna Renee Bray
- Amber Claire Brown
- Jana Markita Call
All providers in Pontotoc, MS · Clinical Social Worker in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.