Organization Active NPI

Shirley Hilliard LCSW PLLC

  • Clinical Social Worker
  • Biloxi, MS
National Provider Identifier
1629643432
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SHIRLEY HILLIARD LCSW PLLC
Practice address
1636 Popps Ferry Rd Ste 105
Biloxi, MS 39532-2214
Phone
(228) 285-5247
NPI assigned
May 24, 2021
Last updated
Dec 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Shirley Ann HilliardNPI 1679668644
Title
Owner
Phone
(228) 285-5247

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1636 Popps Ferry Rd Ste 105
Biloxi, MS 39532-2214

Mailing address

PO Box 2294
Gulfport, MS 39505-2294
Phone (228) 285-5247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210805000090 MS Part B Supplier - Clinic/Group Practice 7315341880 Receives reassigned benefits from 1 practitioner
Practice locations: Biloxi, MS

National Provider Directory

National Provider Directory

Locations

1636 Popps Ferry Rd
Ste 105
Biloxi, MS 39532
Phone (228) 285-5247

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1629643432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2294",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395052294",
            "telephone_number": "228-285-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 POPPS FERRY RD STE 105",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322214",
            "telephone_number": "228-285-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY HILLIARD LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "HILLIARD",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-285-5247"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.