Child Abuse Education Council of Pearl River County, Inc.
Organization Active NPI Social Worker · Picayune, MS
NPI 1649288291 · NPPES record last updated Nov 21, 2012
Key facts
- NPI
- 1649288291
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Social Worker 104100000X
- Legal business name
- CHILD ABUSE EDUCATION COUNCIL OF PEARL RIVER COUNTY, INC.
- Practice address
- 120 Street a
Suite C
Picayune, MS 39466-5466 - Phone
- (601) 799-5886
- NPI assigned
- Aug 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Deloris H. Tatom
- Title
- Administrative Assistant
- Phone
- (601) 799-5886
National Provider Directory
Locations
120 Street a
Ste C
Picayune, MS 39466
Phone (601) 215-6087
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | Yes |
Addresses
Primary practice location
120 Street a
Suite C
Picayune, MS 39466-5466
Mailing address
PO Box 1789
Picayune, MS 39466-1789
Phone (601) 799-5886
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09015605 | Medicaid | MS |
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All providers in Picayune, MS · 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 Nov 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.