Active NPI
Kailee Brewer, LCSW
- Clinical Social Worker
- Hattiesburg, MS
National Provider Identifier
1720996804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C11885
- Practice address
- 5 Magellan Rd
Hattiesburg, MS 39402-9587 - Phone
- (601) 325-5260
- NPI assigned
- Aug 31, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 111697 | TX | |
| Clinical Social Worker | 1041C0700X | C11885 | MS | Primary |
Addresses
Primary practice location
5 Magellan Rd
Hattiesburg, MS 39402-9587
Mailing address
5 Magellan Rd
Hattiesburg, MS 39402-9587
Phone (601) 325-5260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1720996804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MAGELLAN RD",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394029587",
"telephone_number": "601-325-5260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 MAGELLAN RD",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394029587",
"telephone_number": "601-325-5260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "KAILEE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "111697",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C11885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.