Lifesteps, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C5559 Issued in MS

Legal business name

LIFESTEPS, INC

Practice address

559 Clubhouse Dr
Pearl, MS 39208-9506

Phone

(601) 750-7759

NPI assigned

Jun 28, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Tay Angell Nielsen, LCSWNPI 1083824270

Title

Vice-President

Phone

(601) 750-7759

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Tay Angell Nielsen, LCSW

  • Clinical Social Worker
  • Pearl, MS
  • NPI 1083824270
  NPD (past) Authorized official

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790982205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 CLUBHOUSE DR",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392089506",
            "telephone_number": "601-750-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 CLUBHOUSE DR",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392089506",
            "telephone_number": "601-750-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTEPS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "TAY",
        "authorized_official_middle_name": "ANGELL",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "601-750-7759",
        "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": "C5559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03558254",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kids First Pediatric & Adult Medicine, LLC
• Olivia Kincaid
• Catrina D Kitchens
• William Frederick Krooss, MD
• Mitchell Ray Langston, R.PH.
• Antoinette Liles, DMD
• Livewell With Traditions, LLC
• Alicia Sherpree Lockett, LMSW
• Tara Lomax, ED.D
• Abigail Lupena, D.M.D.

• Clinical Social Worker in Pearl, MS
• Providers in Pearl, 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 Aug 22, 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.

Verify at the official NPI Registry.