Eric L Wills, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C10820 Issued in MS

Practice address

10229 Orchid Magnolia Dr
Gulfport, MS 39503-9521

Phone

(228) 623-3739

NPI assigned

Dec 22, 2023

Last updated

Dec 22, 2023By the provider in NPPES

Sex

Male

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

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.

• Connect Counseling LLC

  • Clinical Social Worker
  • Gulfport, MS
  • NPI 1356239339
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1366211997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10229 ORCHID MAGNOLIA DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395039521",
            "telephone_number": "228-623-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10229 ORCHID MAGNOLIA DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395039521",
            "telephone_number": "228-623-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "ERIC",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C10820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy E Williams, MD
• Ethan Scott Williamson
• Victoria Williford, P-LPC
• Valinda Willingham, M.S.,CCC-SLP
• Paul M Williston, O.C.
• Charla Ann Wilson
• David Charles Wilson, LMFT
• David John Wilson, MS,LPC
• Grant Christopher Wilson, DO
• Kristine D Wilson, LPC

• Clinical Social Worker in Gulfport, MS
• Providers in Gulfport, 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 Dec 22, 2023; 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.