Active NPI
Sarah Suzanne Smirthwaite
- Clinical Social Worker
- Gulfport, MS
National Provider Identifier
1427420108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C7393
- Practice address
- 8990 Lorraine Rd
Gulfport, MS 39503-4176 - Phone
- (228) 331-3310
- Fax
- (228) 284-1608
- NPI assigned
- Oct 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C7393 | MS | Primary |
Addresses
Primary practice location
8990 Lorraine Rd
Gulfport, MS 39503-4176
Mailing address
8990 Lorraine Rd
Gulfport, MS 39503-4176
Phone (228) 331-3310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08685769 | Medicaid | MS |
Other names 1
- Sarah Suzanne Dykes
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8990 Lorraine Rd
Gulfport, MS 39503-4176
Phone 22833133101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sally Smirthwaite, LCSW, PLLC | Clinical | Current | Accepting new patients |
Locations
8990 Lorraine Rd
Gulfport, MS 39503
Phone (228) 331-3310
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Gulfport, MS
- NPI 1063094712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1427420108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8990 LORRAINE RD",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395034176",
"telephone_number": "228-331-3310",
"fax_number": "228-284-1608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8990 LORRAINE RD",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395034176",
"telephone_number": "228-331-3310",
"fax_number": "228-284-1608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMIRTHWAITE",
"first_name": "SARAH",
"middle_name": "SUZANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-21",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C7393",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08685769",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "DYKES",
"middle_name": "SUZANNE",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.