Individual provider Active NPI

Cycily Rashun Denman, LCSW

  • Clinical Social Worker
  • McComb, MS
National Provider Identifier
1760092183
Registry record updated Aug 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C8639 Issued in MS
Practice address
420 Delaware Ave
McComb, MS 39648-4021
Phone
(601) 780-5112
NPI assigned
Aug 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2020

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 C8639 MS Primary

Addresses

Primary practice location

420 Delaware Ave
McComb, MS 39648-4021

Mailing address

39 Alfred Holmes Rd
Tylertown, MS 39667-6639
Phone (601) 780-5112

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL simplepractice Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20201015000296 MS Practitioner - Clinical Social Worker 8325468242 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Group CurrentSince Jul 1, 2024 Accepting new patients
Brain Group and Associates CurrentSince Jun 3, 2025 Accepting new patients

Locations

608 Delaware Ave
McComb, MS 39648
Phone (601) 324-3109

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596240000000",
    "number": "1760092183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 ALFRED HOLMES RD",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396676639",
            "telephone_number": "601-780-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DELAWARE AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396484021",
            "telephone_number": "601-780-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENMAN",
        "first_name": "CYCILY",
        "middle_name": "RASHUN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-01",
        "last_updated": "2020-08-01",
        "certification_date": "2020-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C8639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "simplepractice",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "420 Delaware Ave",
            "city": "McComb",
            "state": "MS",
            "country_code": "US",
            "postal_code": "396484021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McComb, MS

Sources for this page

Verify at the official NPI Registry.