Individual provider Active NPI

Katie Elizabeth Beddingfield, LCSW, LMFT

  • Clinical Social Worker
  • Ridgeland, MS
National Provider Identifier
1790189702
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C8247 Issued in MS
Practice address
357 Towne Center Blvd.
Suite 103
Ridgeland, MS 39157
Phone
(601) 624-7352
NPI assigned
Oct 20, 2014
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 C8247 MS Primary

Addresses

Primary practice location

357 Towne Center Blvd.
Suite 103
Ridgeland, MS 39157

Mailing address

223 Chippewa Cir
Jackson, MS 39211-6517
Phone (601) 624-7352

Other practice location 1

1190 N State St
Suite 301
Jackson, MS 39202-2413
Phone (769) 233-8239

Other practice location 2

121 Derby Dr
Madison, MS 39110-8039
Phone (601) 624-7352

Other identifiers 1

IdentifierTypeStateIssuer
C8247OtherMSMS BOARD OF SOCIAL WORKERS

Other names 1

  • Katie Elizabeth Lambright Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 13, 2025 through Jan 13, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C8247MSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Layers Counseling Clinical CurrentSince Mar 17, 2024 Accepting new patients
Wintrigg LLC PastSince Jul 1, 2016 Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1790189702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 CHIPPEWA CIR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392116517",
            "telephone_number": "601-624-7352",
            "fax_number": "769-233-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 TOWNE CENTER BLVD.",
            "address_2": "SUITE 103",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "39157",
            "telephone_number": "601-624-7352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 N State St",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022413",
            "country_code": "US",
            "telephone_number": "769-233-8239",
            "fax_number": "769-233-7865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Derby Dr",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391108039",
            "country_code": "US",
            "telephone_number": "601-624-7352",
            "fax_number": "769-233-7865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEDDINGFIELD",
        "first_name": "KATIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "LCSW, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C8247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS BOARD OF SOCIAL WORKERS",
            "identifier": "C8247",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "LAMBRIGHT",
            "middle_name": "ELIZABETH",
            "credential": "LCSW, LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.