Individual provider Active NPI

Stephanie Tubbs

  • Clinical Social Worker
  • Ocean Springs, MS
National Provider Identifier
1396444071
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C10500 Issued in MS
Practice address
1805 School St
Ocean Springs, MS 39564-3049
Phone
(228) 761-6314
NPI assigned
Mar 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C10500 MS Primary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 135610 CA
Clinical Social Worker 1041C0700X 13597854-3504 UT

Addresses

Primary practice location

1805 School St
Ocean Springs, MS 39564-3049

Mailing address

1805 School St
Ocean Springs, MS 39564-3049
Phone (228) 761-6314

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND, MS, UT, SD, TX, AK, CA, OH9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20230517000773 MN Practitioner - Clinical Social Worker 8527424597
I20230601002254 ND Practitioner - Clinical Social Worker 8527424597 Reassigns benefits to 1 organization
I20231002001993 MS Practitioner - Clinical Social Worker 8527424597 Reassigns benefits to 3 organizations
I20231011002406 UT Practitioner - Clinical Social Worker 8527424597 Reassigns benefits to 1 organization
I20240423002902 SD Practitioner - Clinical Social Worker 8527424597 Reassigns benefits to 1 organization
I20240621000367 TX Practitioner - Clinical Social Worker 8527424597
I20251229003372 AK Practitioner - Clinical Social Worker 8527424597 Reassigns benefits to 1 organization
I20251230001717 CA Practitioner - Clinical Social Worker 8527424597 Reassigns benefits to 2 organizations
I20260122003739 OH Practitioner - Clinical Social Worker 8527424597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians

Practice addresses (Care Compare)

Gulfport, MS 39507
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135610CAMDClinical Social Worker
C10500MSMDClinical Social Worker
13597854-3504UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind, P.a. Clinical CurrentSince Aug 1, 2025 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Aug 1, 2025 Accepting new patients
Mood Clinical, P. C. Single Specialty CurrentSince Oct 23, 2025 Accepting new patients
Sondermind PC Clinical CurrentSince Nov 15, 2025 Accepting new patients
Brightside Health, Inc. Single Specialty CurrentSince Sep 1, 2023 Accepting new patients
Glenn Medical Center, LLC PastSince Oct 23, 2025 Accepting new patients
Sweet Memorial Nursing Home Single Specialty PastSince Feb 1, 2010 Accepting new patients

Locations

721 Depot Dr
Anchorage, AK 99501
Phone (201) 293-7689

3300 Artic Blvd
Ste 201
Anchorage, AK 99503
Phone (907) 268-4234

18191 Von Karman Ave
Ste 100
Irvine, CA 92612
Phone (530) 889-7293

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

27240 Turnberry Ln
Ste 200
Valencia, CA 91355
Phone (661) 289-6992

1460 Maria Ln
Ste 300
Walnut Creek, CA 94596
Phone (510) 214-3980

6501 Arlington Expy
Ste B105
Jacksonville, FL 32211
Phone (904) 302-9355

445 Minnesota St
Ste 1500
Saint Paul, MN 55101
Phone (612) 532-7105

1110 Cowan Rd
#B
Gulfport, MS 39507
Phone (228) 254-3037

1000 Highland Colony Pkwy
Ste 5203
Ridgeland, MS 39157
Phone (601) 427-4734

1531 32nd Ave S
Ste 102
Fargo, ND 58103
Phone (281) 762-0659

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

101 S Reid St
Ste 307
Sioux Falls, SD 57103
Phone (605) 221-6244

6975 S Union Park Ctr
Ste 600
Midvale, UT 84047
Phone (385) 255-7859

3556 S 5600 W
#1828
West Valley City, UT 84120
Phone (330) 416-3867

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1396444071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 SCHOOL ST",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643049",
            "telephone_number": "228-761-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 SCHOOL ST",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643049",
            "telephone_number": "228-761-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBBS",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C10500",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "135610",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "13597854-3504",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.