Julie Bishop, LCSW

Individual provider Active NPI Clinical Social Worker · Gulfport, MS

NPI 1366840423 · NPPES record last updated Dec 5, 2014

Key facts

NPI
1366840423
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
SW12160 (FL)
Practice address
5501 Marvin Shields Blvd
Gulfport, MS 39501-9007
Phone
(228) 822-5067
NPI assigned
Dec 5, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SW12160FLMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW12160 FL Yes

Addresses

Primary practice location

5501 Marvin Shields Blvd
Gulfport, MS 39501-9007

Mailing address

206 Patrick Dr
Biloxi, MS 39531-2640
Phone (858) 232-0780

Other providers in Gulfport, MS

All providers in Gulfport, MS · Clinical Social Worker in Mississippi

Sources for this page

Verify at the official NPI Registry.