Magnolia Bloom Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MAGNOLIA BLOOM COUNSELING, LLC

Practice address

4063 Ginger Dr Ste D
Diberville, MS 39540-3705

Phone

(985) 250-1614

NPI assigned

Mar 29, 2021

Last updated

Mar 29, 2021By 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

Dr. Valerie Joiner, LCSWNPI 1417457300

Title

Clinical Social Worker

Phone

(228) 224-0984

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Valerie Cascile Joiner, LCSW

  • Clinical Social Worker
  • D'Iberville, MS
  • NPI 1417457300
  Authorized official Same address or phone
• Pamela Nicole Tambini, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Riviera Beach, FL
  • NPI 1396087698
  NPD

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1457939985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11079 OAKCREST DR",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395402368",
            "telephone_number": "228-224-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4063 GINGER DR STE D",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395403705",
            "telephone_number": "985-250-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA BLOOM COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "JOINER",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "228-224-0984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LHCG Xxvi LLC
• Lococo Health and Wellness Inc
• Nicholas Andrew Lococo, D.C.
• Long Beach Pass Medical
• Catherine Ann Louiselle
• Alyssa Fuller Martin, DPT
• Katelyn Elizabeth Martin, BCBA, LBA
• Maxem Health Urgent Care Diberville
• Matthew Scott Mazara, PTA
• Rachael Elizabeth McAllister, RN

• Clinical Social Worker in D'Iberville, MS
• Providers in D'Iberville, 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 Mar 29, 2021; 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.