Individual provider Active NPI

Shirley Ann Hilliard, LCSW

  • Clinical Social Worker
  • Biloxi, MS
National Provider Identifier
1679668644
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C6816 Issued in MS
Practice address
1636 Popps Ferry Rd Ste 105
Biloxi, MS 39532-2214
Phone
(228) 285-5247
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C6816 MS 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

Other identifiers 1

IdentifierTypeStateIssuer
000856758MedicaidMS

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
I20141030002038 MS Practitioner - Clinical Social Worker 1658592951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1636 Popps Ferry Rd
Suite 105
Biloxi, MS 39532-2214
Phone (228) 285-5247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shirley Hilliard LCSW PLLC Clinical CurrentSince Jun 1, 2021 Accepting new patients

Locations

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

1403 43rd Ave
Gulfport, MS 39501
Phone (228) 861-5260

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1679668644",
    "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": {
        "last_name": "HILLIARD",
        "first_name": "SHIRLEY",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C6816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000856758",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.