NPIMap

Individual provider Active NPI

Kathlene Strangeman, LCSW-S

  • Social Worker
  • Brandon, MS
National Provider Identifier
1528423035
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
M8458 Issued in MS
Practice address
111 Lakeshore Dr Apt G403
Brandon, MS 39047
Phone
(662) 638-9316
NPI assigned
Dec 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X M8458 MS Primary

Addresses

Primary practice location

111 Lakeshore Dr Apt G403
Brandon, MS 39047

Mailing address

111 Lakeshore Dr Apt G403
Brandon, MS 39047-6096
Phone (662) 638-9316

Other practice location 1

1500 E Woodrow Wilson Ave
Jackson, MS 39216
Phone (601) 362-4471 ext. 56165

Other practice location 2

1000 Highland Colony Pkwy Ste 5203
Ridgeland, MS 39157
Phone (662) 638-9316

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Brandon

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
M8458MSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kathlenestrangeman@tdh.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1528423035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LAKESHORE DR APT G403",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476096",
            "telephone_number": "662-638-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LAKESHORE DR APT G403",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "39047",
            "telephone_number": "662-638-9316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Woodrow Wilson Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "39216",
            "country_code": "US",
            "telephone_number": "601-362-4471 x56165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Highland Colony Pkwy Ste 5203",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "39157",
            "country_code": "US",
            "telephone_number": "662-638-9316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRANGEMAN",
        "first_name": "KATHLENE",
        "credential": "LCSW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "M8458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Brandon",
            "affiliation": "N",
            "address_1": "111 Lakeshore Dr Apt G403",
            "city": "Brandon",
            "state": "MS",
            "country_code": "US",
            "postal_code": "39047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.