Individual provider Active NPI

Adrienne Baughtman Seals, LMSW

  • Social Worker
  • McComb, MS
National Provider Identifier
1568223733
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
M9325 Issued in MS
Practice address
1510 Harrison Ave
McComb, MS 39648-2716
Phone
(601) 684-8284
NPI assigned
Jan 16, 2024
Last updated
Mar 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 14907 LA
Social Worker 104100000X M9325 MS Primary

Addresses

Primary practice location

1510 Harrison Ave
McComb, MS 39648-2716

Mailing address

25 Mary Sawyer Rd
Tylertown, MS 39667-6048
Phone (601) 303-7908

Other names 1

  • Adrienne N Baughtman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250528000648 MS Practitioner - Clinical Social Worker 9234658857 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14907LAMDSocial Worker
M9325MSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Psychiatric Outpatient, LLC CurrentSince May 16, 2025 Accepting new patients
Serenity Psychiatric Outpatient, LLC CurrentSince May 16, 2025 Accepting new patients

Locations

300 Rawls Dr
Ste 900
McComb, MS 39648
Phone (601) 684-8284

415 Marion Ave
McComb, MS 39648
Phone (601) 584-8700

Organizations & group practices 2

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": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1568223733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MARY SAWYER RD",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396676048",
            "telephone_number": "601-303-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 HARRISON AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482716",
            "telephone_number": "601-684-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEALS",
        "first_name": "ADRIENNE",
        "middle_name": "BAUGHTMAN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "14907",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "M9325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIENNE",
            "last_name": "BAUGHTMAN",
            "middle_name": "N",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McComb, MS

Sources for this page

Verify at the official NPI Registry.