Ocean Blue Therapy Group PLLC
Organization Active NPI Clinical Social Worker · Gulfport, MS
NPI 1619835154 · NPPES record last updated Jan 13, 2026
Key facts
- NPI
- 1619835154
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- OCEAN BLUE THERAPY GROUP PLLC
- Practice address
- 20016 Tournament Dr
Gulfport, MS 39503-8185 - Phone
- (228) 314-4448
- Fax
- (228) 314-4448
- NPI assigned
- Jan 13, 2026
- Organization subpart
- No
Authorized official
- Name
- Mrs. Sarah Garner Emery, LCSW
- Title
- Clinical Social Worker
- Phone
- (228) 314-4448
Practitioners 1
-
Sarah Emery, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260304004136 | MS | Part B Supplier - Clinic/Group Practice | 2062994478 |
Receives reassigned benefits from 1 practitioner Practice locations: Gulfport, MS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
20016 Tournament Dr
Gulfport, MS 39503-8185
Mailing address
20016 Tournament Dr
Gulfport, MS 39503-8185
Phone (228) 314-4448
Other providers in Gulfport, MS
- Alicia Nye
- Joseph D O'Gorman
- O'Keefe Educational Media
- Oak Place Pharmacy
- Obtelecare Mississippi, PC
- Ochsner Clinic LLC
- Ochsner Clinic LLC
- Ochsner Mississippi, LLC
- Ochsner Mississippi, LLC
- Ochsner Mississippi, LLC
All providers in Gulfport, MS · Clinical Social Worker in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.