Elizabeth Casey, LCSW

Individual provider Active NPI Clinical Social Worker · Ocean Springs, MS

NPI 1588030563 · NPPES record last updated Apr 15, 2022

Key facts

NPI
1588030563
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
C3633 (MS)
Practice address
509 Jackson Ave
Ocean Springs, MS 39564-4619
Phone
(228) 875-6113
NPI assigned
Aug 13, 2015
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Family Counseling Agency (5 clinicians)

Practice addresses (Care Compare)

509 Jackson Ave
Ocean Springs, MS 39564-4619
Phone (228) 875-6113

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190828003228 MS Practitioner - Clinical Social Worker 6901134949 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Family Counseling Agency Clinical Current
since Jul 1, 2019
Accepting new patients

Locations

509 Jackson Ave
Ocean Springs, MS 39564
Phone (228) 875-6113

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C3633 MS Yes

Addresses

Primary practice location

509 Jackson Ave
Ocean Springs, MS 39564-4619

Mailing address

509 Jackson Ave
Ocean Springs, MS 39564-4619
Phone (228) 875-6113

Other identifiers

IdentifierTypeStateIssuer
00018213MedicaidMS

Other providers in Ocean Springs, MS

All providers in Ocean Springs, MS · Clinical Social Worker in Mississippi

Sources for this page

Verify at the official NPI Registry.