Sycamore Tree Counseling Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C4945 Issued in MS

Legal business name

SYCAMORE TREE COUNSELING SERVICES

Practice address

207 3Rd Ave
Hattiesburg, MS 39401-3868

Phone

(601) 545-2442

Fax

(601) 545-2443

NPI assigned

Sep 29, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Heather J Wilkes, LCSWNPI 1184958902

Title

Therapist

Phone

(601) 545-2442

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather J Wilkes, LCSW

  • Clinical Social Worker
  • Hattiesburg, MS
  • NPI 1184958902
  NPD (past) Authorized official
• Christopher Wilkes, LCSW, CAADC

  • Clinical Social Worker
  • Hattiesburg, MS
  • NPI 1174833693
  NPD (past)

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1760716385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 3RD AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394013868",
            "telephone_number": "601-545-2442",
            "fax_number": "601-545-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 3RD AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394013868",
            "telephone_number": "601-545-2442",
            "fax_number": "601-545-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE TREE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "WILKES",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "601-545-2442",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C4945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Gardner Sutton, D.M.D.
• Rebecca E Swan, NP-C
• Hiroko Swanigan, LMSW
• Inna Swann, PHYSICAL THERAPIST
• Sweet Magnolia Moon, a Sleep Center, LLC
• Synergy Wound Care LLC
• Bridget Y Tah-Clayton, D.O.
• Take1Tohelp1
• Paul J Talbot, MD
• Talk Time Therapy LLC

• Clinical Social Worker in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.