NPIMap

Organization Active NPI

Life Apps for Families, LLC

  • Clinical Social Worker
  • McComb, MS
National Provider Identifier
1548501448
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C3010 Issued in MS
Legal business name
LIFE APPS FOR FAMILIES, LLC
Practice address
612 Delaware Ave
Suite 9
McComb, MS 39648-4000
Phone
(601) 250-4505
Fax
(888) 719-7816
NPI assigned
Mar 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Authorized official

Name
Jerolyn Faith Banks, LCSWNPI 1518151430
Title
Administrator
Phone
(601) 250-4505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X C3010 MS Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 7505 LA

Addresses

Primary practice location

612 Delaware Ave
Suite 9
McComb, MS 39648-4000

Mailing address

PO Box 2481
McComb, MS 39649-2481
Phone (601) 250-4505

National Provider Directory

National Provider Directory

Locations

612 Delaware Ave
Ste 9
McComb, MS 39648
Phone (601) 250-4505

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1548501448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2481",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396492481",
            "telephone_number": "601-250-4505",
            "fax_number": "888-719-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 DELAWARE AVE",
            "address_2": "SUITE 9",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396484000",
            "telephone_number": "601-250-4505",
            "fax_number": "888-719-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE APPS FOR FAMILIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-03",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "JEROLYN",
        "authorized_official_middle_name": "FAITH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-250-4505",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C3010",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "7505",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McComb, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.