Individual provider Active NPI

Anita Twiner-Watkins, LCSW

  • Clinical Social Worker
  • Long Beach, MS
National Provider Identifier
1720401813
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C8040 Issued in MS
Practice address
110 Hawthorne Dr
Long Beach, MS 39560-8201
Phone
(601) 255-7937
NPI assigned
Jan 27, 2014
Last updated
Apr 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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 C8040 MS Primary

Addresses

Primary practice location

110 Hawthorne Dr
Long Beach, MS 39560-8201

Mailing address

719 24TH St
Gulfport, MS 39501-3408
Phone (601) 255-7937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX, MN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190617001213 MS Practitioner - Clinical Social Worker 5395078893 Reassigns benefits to 2 organizations
I20230316002676 TX Practitioner - Clinical Social Worker 5395078893 Reassigns benefits to 1 organization
I20240305001766 MN Practitioner - Clinical Social Worker 5395078893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Family Counseling AgencyGroup PAC ID 9537239389, 5 clinicians

Practice addresses (Care Compare)

509 Jackson Ave
Ocean Springs, MS 39564-4619
Phone (228) 875-6113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Dec 5, 2022 Accepting new patients
Gulf Coast Family Counseling Agency Clinical CurrentSince May 20, 2019 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

509 Jackson Ave
Ocean Springs, MS 39564
Phone (228) 875-6113

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1720401813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 24TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395013408",
            "telephone_number": "601-255-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HAWTHORNE DR",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395608201",
            "telephone_number": "601-255-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWINER-WATKINS",
        "first_name": "ANITA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-27",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C8040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, MS

Sources for this page

Verify at the official NPI Registry.