Active NPI
Sandra Cheryl Hall, LCSW
- Clinical Social Worker
- Gulfport, MS
National Provider Identifier
1528072048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C2816
- Practice address
- 127 Gary St
Coast Counseling Center
Gulfport, MS 39503-3503 - Phone
- (228) 832-0556
- Fax
- (228) 831-4495
- NPI assigned
- Jul 28, 2006
- Last updated
- Jan 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | C2816 | MS | Primary |
Addresses
Primary practice location
127 Gary St
Coast Counseling Center
Gulfport, MS 39503-3503
Mailing address
PO Box 3367
Coast Counseling Center
Gulfport, MS 39505-3367
Phone (228) 832-0556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2816 | MS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gatto Bay, Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201132800000",
"number": "1528072048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3367",
"address_2": "COAST COUNSELING CENTER",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395053367",
"telephone_number": "228-832-0556",
"fax_number": "228-831-4495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 GARY ST",
"address_2": "COAST COUNSELING CENTER",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395033503",
"telephone_number": "228-832-0556",
"fax_number": "228-831-4495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "SANDRA",
"middle_name": "CHERYL",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2008-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C2816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.