Individual provider Active NPI

Lauren Wells Strickland, LICSW, PIP

  • Clinical Social Worker
  • Hattiesburg, MS
National Provider Identifier
1558760728
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C5881 Issued in MS
Practice address
615 W Pine St
Hattiesburg, MS 39401-3835
Phone
(251) 751-1126
NPI assigned
Aug 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1108-2322C AL
Clinical Social Worker 1041C0700X C5881 MS Primary

Addresses

Primary practice location

615 W Pine St
Hattiesburg, MS 39401-3835

Mailing address

110 Chesterfield Rd
Hattiesburg, MS 39402-1927
Phone (251) 751-1126

Other practice location 1

502 Calibre St
Fairhope, AL 36532-7277
Phone (251) 213-0459

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
1108-2322CALMDClinical Social Worker
C5881MSMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1558760728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CHESTERFIELD RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021927",
            "telephone_number": "251-751-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W PINE ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394013835",
            "telephone_number": "251-751-1126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 Calibre St",
            "address_purpose": "LOCATION",
            "city": "Fairhope",
            "state": "AL",
            "postal_code": "365327277",
            "country_code": "US",
            "telephone_number": "251-213-0459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRICKLAND",
        "first_name": "LAUREN",
        "middle_name": "WELLS",
        "name_prefix": "Mrs.",
        "credential": "LICSW, PIP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1108-2322C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C5881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.