Individual provider Active NPI

Paula M St Pierre, LCSW

  • Social Worker
  • Ridgeland, MS
National Provider Identifier
1649335134
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
C1361 Issued in MS
Practice address
357 Towne Center PL Ste 402
Ridgeland, MS 39157-4844
Phone
(601) 832-4984
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X C1361 MS Primary

Addresses

Primary practice location

357 Towne Center PL Ste 402
Ridgeland, MS 39157-4844

Mailing address

357 Towne Center PL Ste 402
Ridgeland, MS 39157-4844
Phone (601) 832-4984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230531001706 MS Practitioner - Clinical Social Worker 0840657201 Practice locations: Ridgeland, MS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

357 Towne Ctr PL
Suite 402
Ridgeland, MS 39157-4844
Phone (601) 832-4984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1649335134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 TOWNE CENTER PL STE 402",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574844",
            "telephone_number": "601-832-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 TOWNE CENTER PL STE 402",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574844",
            "telephone_number": "601-832-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST PIERRE",
        "first_name": "PAULA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "C1361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.