Stephanie Eatman, LMSW
Individual provider Active NPI Social Worker · Purvis, MS
NPI 1477560092 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1477560092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- M6521 (MS)
- Practice address
- 805 Hwy 589
Purvis, MS 39475 - Phone
- (601) 794-6549
- Fax
- (601) 584-4053
- NPI assigned
- Aug 3, 2006
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| M6521 | MS | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | M6521 | MS | Yes |
Addresses
Primary practice location
805 Hwy 589
Purvis, MS 39475
Mailing address
PO Box 489
Purvis, MS 39475-0489
Phone (601) 794-6549
Other providers in Purvis, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.