NPIMap

Organization Active NPI

McComb School District

  • Clinical Social Worker
  • McComb, MS
National Provider Identifier
1346437761
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C6391 Issued in MS
Legal business name
MCCOMB SCHOOL DISTRICT
Practice address
1000 Elmwood St
McComb, MS 39648-2536
Phone
(601) 249-5138
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Kristi Thomas, LCSW
Title
Director School Mental Health
Phone
(601) 249-5138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C6391 MS Primary

Addresses

Primary practice location

1000 Elmwood St
McComb, MS 39648-2536

Mailing address

1000 Elmwood St
McComb, MS 39648-2536
Phone (601) 249-5138

Other identifiers 1

IdentifierTypeStateIssuer
08537384MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
McComb Public School District7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1000 Elmwood St
McComb, MS 39648
Phone (601) 249-5138

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1346437761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ELMWOOD ST",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482536",
            "telephone_number": "601-249-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ELMWOOD ST",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482536",
            "telephone_number": "601-249-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOMB SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "DIRECTOR SCHOOL MENTAL HEALTH",
        "authorized_official_telephone_number": "601-249-5138",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C6391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08537384",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McComb, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.