Compassionate Hearts

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C6696 Issued in MS

Legal business name

COMPASSIONATE HEARTS

Practice address

1828 Raymond Rd
Suite a
Jackson, MS 39204-4126

Phone

(769) 233-8585

Fax

(877) 907-6577

NPI assigned

Aug 10, 2012

Last updated

Jun 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kira Johnson, LCSW

Title

Clinical Service Director

Phone

(769) 233-8585

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1386991230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 RAYMOND RD",
            "address_2": "SUITE A",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392044126",
            "telephone_number": "769-233-8585",
            "fax_number": "877-907-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 RAYMOND RD",
            "address_2": "SUITE A",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392044126",
            "telephone_number": "769-233-8585",
            "fax_number": "877-907-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE HEARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-10",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KIRA",
        "authorized_official_title_or_position": "CLINICAL SERVICE DIRECTOR",
        "authorized_official_telephone_number": "769-233-8585",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C6696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06202806",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Jackson, MS
• Providers in Jackson, 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 Jun 22, 2015; 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.