Ricardo Gillispie, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MCLCSWC0082 Issued in MS

Practice address

4940 Highway 39 N
Meridian, MS 39301-1019

Phone

(601) 483-2864

Fax

(601) 483-2806

NPI assigned

Jul 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Alliance Health Center Inc.

  • Psychiatry Physician
  • Meridian, MS
  • NPI 1679850150
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699797944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3626",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393033626",
            "telephone_number": "601-483-2864",
            "fax_number": "601-483-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 HIGHWAY 39 N",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393011019",
            "telephone_number": "601-483-2864",
            "fax_number": "601-483-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLISPIE",
        "first_name": "RICARDO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "MCLCSWC0082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00120577",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Lamar Gibson II, M.D.
• William H. Gibson, M.D.
• James L Gilbert, PHD
• Treva Gilbert, PMHNP
• Leigh Z Gillespie, FPMHNP-BC
• David M Gilmore, DMD
• Melanie Sheryl Gilmore, FNP
• Haley Gipson, MS, RD, LD
• Erica Glover, FNP
• Golden Angels Home Care Agency LLC

• Clinical Social Worker in Meridian, MS
• Providers in Meridian, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.