Active NPI
Mpower Healing, PLLC
- Clinical Social Worker
- Picayune, MS
National Provider Identifier
1811497464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C6956
- Legal business name
- MPOWER HEALING, PLLC
- Practice address
- 124 Kirkwood St
Picayune, MS 39466-3866 - Phone
- (601) 799-9500
- Fax
- (855) 675-8575
- NPI assigned
- Feb 20, 2018
- Last updated
- Jul 7, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Desarae Swilley Rice, LCSW
- Title
- Owner
- Phone
- (601) 799-9500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C6956 | MS | Primary |
Addresses
Primary practice location
124 Kirkwood St
Picayune, MS 39466-3866
Mailing address
PO Box 1111
Picayune, MS 39466-1111
Phone (601) 799-9500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00584268 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
124 Kirkwood St
Picayune, MS 39466
Phone (601) 590-5325
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Picayune, MS
- NPI 1629321344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657152000000",
"number": "1811497464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1111",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394661111",
"telephone_number": "601-799-9500",
"fax_number": "855-675-8575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 KIRKWOOD ST",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394663866",
"telephone_number": "601-799-9500",
"fax_number": "855-675-8575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MPOWER HEALING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-20",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A",
"authorized_official_last_name": "RICE",
"authorized_official_first_name": "DESARAE",
"authorized_official_middle_name": "SWILLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-799-9500",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C6956",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00584268",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Picayune, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.