Danae Doyle
Individual provider Active NPI Clinical Social Worker · Gulfport, MS
NPI 1750267142 · NPPES record last updated Aug 12, 2025
Key facts
- NPI
- 1750267142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C11308 (MS)
- Practice address
- 2715 Bullis Ave
Gulfport, MS 39501-5233 - Phone
- (228) 220-4226
- NPI assigned
- Aug 12, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C11308 | MS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Professional Counseling Services, LLC | Clinical | Current |
Accepting new patients |
| Kimila Deflanders LCSW LLC | Clinical | Past |
Accepting new patients |
Locations
2715 Bullis Ave
Gulfport, MS 39501
Phone (228) 220-4226
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C11308 | MS | Yes |
Addresses
Primary practice location
2715 Bullis Ave
Gulfport, MS 39501-5233
Mailing address
11150 Highway 49
Gulfport, MS 39503-4110
Phone (228) 305-0126
Other providers in Gulfport, MS
- Georgianna Dorch
- Raymond Kimble Doty Jr.
- John William Douglas
- Kristen Mullins Douglas
- Felicia Faye Downs
- Dr Bryan Vyverberg MD, PLLC
- Dr. Michelle Jeanfreau LLC
- Dr. Raymond Monsour Scurfield, LLC
- Leigh P Drace
- Philmecia Kiana Drakeford
All providers in Gulfport, MS · Clinical Social Worker in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.