Individual provider Active NPI

Mae Grace Arrington, LCSW

  • Clinical Social Worker
  • Tupelo, MS
National Provider Identifier
1356757678
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C6662 Issued in MS
Practice address
4428 S Eason Blvd Ste B
Tupelo, MS 38801-6506
Phone
(662) 234-7601
NPI assigned
Jul 8, 2014
Last updated
Aug 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X AD89-004A MS
Clinical Social Worker 1041C0700X C6662 MS Primary

Addresses

Primary practice location

4428 S Eason Blvd Ste B
Tupelo, MS 38801-6506

Mailing address

4579 S Eason Blvd
Tupelo, MS 38801-6539
Phone (662) 377-3161

Other practice location 1

4579 S Eason Blvd
Tupelo, MS 38801-6539
Phone (662) 377-3161 ext. 2862

Other names 1

  • Mrs. Mae Arrington Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160804001164 MS Practitioner - Clinical Social Worker 9638463243 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Right Track Medical Group, IncGroup PAC ID 8729403415, 26 clinicians
Precise Clinical Neuroscience SpecialistsGroup PAC ID 4880737626, 37 clinicians

Practice addresses (Care Compare)

200 Hwy 12 E
Starkville, MS 39759-3766
Phone (662) 234-7601

4428 S Eason Blvd
Tupelo, MS 38801-6506
Phone (662) 234-7601

9035 E Sandidge Rd
Suite 201
Olive Branch, MS 38654-3563
Phone (662) 234-7601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AD89-004AMSMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Precise Clinical Neuroscience Specialists CurrentSince Mar 10, 2026 Accepting new patients
Right Track Medical Group, Inc CurrentSince Jul 1, 2020 Accepting new patients
Mississippi Center for Advanced Medicine, PC PastSince Aug 23, 2020 Accepting new patients

Locations

200 Highway 12 E
Starkville, MS 39759
Phone (662) 498-1900

4428 S Eason Blvd
Tupelo, MS 38801
Phone (601) 844-5080

4428 S Eason Blvd
Ste 1
Tupelo, MS 38801
Phone (662) 260-4533

4428 S Eason Blvd
Ste B
Tupelo, MS 38801

Organizations & group practices 3

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": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1356757678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4579 S EASON BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016539",
            "telephone_number": "662-377-3161",
            "fax_number": "662-377-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4428 S EASON BLVD STE B",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016506",
            "telephone_number": "662-234-7601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4579 S Eason Blvd",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388016539",
            "country_code": "US",
            "telephone_number": "662-377-3161 x2862",
            "fax_number": "662-377-7595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARRINGTON",
        "first_name": "MAE",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MS",
            "license": "AD89-004A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C6662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAE",
            "last_name": "ARRINGTON",
            "prefix": "MRS.",
            "credential": "CADC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.