Paula K Spooner, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

C5828 Issued in MS

Practice address

703 W Canal St
Picayune, MS 39466-3918

Phone

(601) 749-9477

Fax

(601) 889-1265

NPI assigned

Oct 14, 2006

Last updated

Jan 23, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Paula K Tracy Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nursing Home Psychological Services of Mississippi, Inc.

  • Psychologist
  • Jackson, MS
  • NPI 1184725533

  Social Worker

  NPD (past)
• Nursing Home Psychological Services, LLC

  • Psychologist
  • Poplarville, MS
  • NPI 1295952992

  Social Worker

  NPD (past)

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1750471108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 DOUBLOON DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704612715",
            "telephone_number": "205-979-5882",
            "fax_number": "205-979-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 W CANAL ST",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663918",
            "telephone_number": "601-749-9477",
            "fax_number": "601-889-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOONER",
        "first_name": "PAULA",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-14",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "C5828",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MS",
            "license": "C5828",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05933296",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "TRACY",
            "middle_name": "K",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher L Sones, NP-C
• Southern Bone & Joint Specialists, PA
• Southern Physical Therapy Clinic, Inc.
• Southern Prosthetic Care LLC
• Sandra Janell Spiers, NP
• St Joseph Hospice & Palliative Care Northshore LLC
• Stanek Chiro Services Inc
• Kathryn G Stanek, DC
• Kraig Michael Stasney, O.D.
• Michael Stephens, FNP-C

• Social Worker in Picayune, MS
• Providers in Picayune, MS by specialty
• Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.