Donna Marie Burks, LCSW
Individual provider Active NPI Clinical Social Worker · Pascagoula, MS
NPI 1629589643 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1629589643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C6103 (MS)
- Practice address
- 2809 Denny Ave
Pascagoula, MS 39581-5301 - Phone
- (228) 809-5251
- Fax
- (228) 809-5255
- NPI assigned
- Oct 17, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Singing River Health System
Practice addresses (Care Compare)
2809 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 818-0563
Hospital & facility affiliations
- Singing River Health System
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171122001129 | MS | Practitioner - Clinical Social Worker | 0042577306 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C6103 | MS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singing River Gulfport | Current |
Accepting new patients | |
| Singing River Health System | Current |
Accepting new patients | |
| Singing River Gulfport | Current |
Accepting new patients |
Locations
2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576
350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054
3535 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1111
2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C6103 | MS | Yes |
Addresses
Primary practice location
2809 Denny Ave
Pascagoula, MS 39581-5301
Mailing address
2809 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 809-5251
Other practice location 1
3535 Bienville Blvd
Ocean Springs, MS 39564-5705
Phone (228) 872-1641
Other providers in Pascagoula, MS
- Joel Roy Brunt
- Jonathan Bui
- Julie Bullock
- Lindsay Williams Buono
- Valerie B Buras
- Robert Benjamin Burns
- Martin Bydalek
- Marianne Cabrera-Arroyo
- Victor Calcote
- Venus Jeanette Callahan
All providers in Pascagoula, 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 Mar 17, 2018. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.