Active NPI
Shelia Newbaker, LCSW, CMHT
- Social Worker
- Meridian, MS
National Provider Identifier
1548577133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- C4729
- Practice address
- 5701 N Hills St
Meridian, MS 39307-2903 - Phone
- (601) 581-7562
- Fax
- (601) 581-7676
- NPI assigned
- Sep 3, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | C4729 | MS | Primary |
Addresses
Primary practice location
5701 N Hills St
Meridian, MS 39307-2903
Mailing address
PO Box 4128
Meridian, MS 39304-4128
Phone (601) 581-7562
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
| License | State | Type | Specialty |
|---|---|---|---|
| C4729 | MS | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Mississippi State Hospital | 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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Meridian, MS
- NPI 1346522653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283472000000",
"number": "1548577133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4128",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393044128",
"telephone_number": "601-581-7562",
"fax_number": "601-581-7676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 N HILLS ST",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393072903",
"telephone_number": "601-581-7562",
"fax_number": "601-581-7676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBAKER",
"first_name": "SHELIA",
"name_prefix": "Mrs.",
"credential": "LCSW, CMHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-03",
"last_updated": "2010-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MS",
"license": "C4729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.