Active NPI
Diane Lynne Braman, LCSW
- Clinical Social Worker
- Flowood, MS
National Provider Identifier
1760662050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C6285
- Practice address
- 499 Keywood Cir Ste B
Flowood, MS 39232-3001 - Phone
- (601) 759-1970
- NPI assigned
- Nov 5, 2007
- Last updated
- Apr 3, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C6285 | MS | Primary |
Addresses
Primary practice location
499 Keywood Cir Ste B
Flowood, MS 39232-3001
Mailing address
PO Box 334
Florence, MS 39073-0334
Phone (601) 759-1970
Other practice location 1
629 Cherry St
Vicksburg, MS 39183-2117
Phone (601) 619-9172
Other practice location 2
850 E River Pl Ste 301
Jackson, MS 39202-3443
Phone (601) 326-3736
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Mental Health Center | Past | Accepting new patients | |
| Grace Christian Counseling Center | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Flowood, MS
- NPI 1508483793
-
- Marriage & Family Therapist
- Vicksburg, MS
- NPI 1447295654
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gulfport, MS
- NPI 1417934175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585872000000",
"number": "1760662050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 334",
"city": "FLORENCE",
"state": "MS",
"postal_code": "390730334",
"telephone_number": "601-759-1970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "499 KEYWOOD CIR STE B",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392323001",
"telephone_number": "601-759-1970"
}
],
"practiceLocations": [
{
"address_1": "629 Cherry St",
"address_purpose": "LOCATION",
"city": "Vicksburg",
"state": "MS",
"postal_code": "391832117",
"country_code": "US",
"telephone_number": "601-619-9172",
"fax_number": "601-636-5739",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "850 E River Pl Ste 301",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392023443",
"country_code": "US",
"telephone_number": "601-326-3736",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRAMAN",
"first_name": "DIANE",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-05",
"last_updated": "2020-04-03",
"certification_date": "2020-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C6285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.