Active NPI
Isaure Caviness, LMSW
- Clinical Social Worker
- Gulfport, MS
National Provider Identifier
1821528183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- M2716
- Practice address
- 1323 Poplar Ave
Gulfport, MS 39507-2044 - Phone
- (228) 214-3369
- NPI assigned
- Jun 19, 2017
- Sex
- Female
- Sole proprietor
- No
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 | M2716 | MS | Primary |
Addresses
Primary practice location
1323 Poplar Ave
Gulfport, MS 39507-2044
Mailing address
113 Beach Park PL
Long Beach, MS 39560-6223
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M2716 | MS | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497830400000",
"number": "1821528183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 BEACH PARK PL",
"city": "LONG BEACH",
"state": "MS",
"postal_code": "395606223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1323 POPLAR AVE",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395072044",
"telephone_number": "228-214-3369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVINESS",
"first_name": "ISAURE",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-19",
"last_updated": "2017-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "M2716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gulfport, MS
- Catalyst Counseling and Therapy Services LLC
- Catholic Social & Community Services (Catholic Charities of South Mississippi)
- Jack Q Causey II, MD
- Glen Michael Cavalier, CRNA
- Roxanne Cavataio, LCSW
- Richard Joseph Cefalu, LMT 2859
- Faye Centeno, WHCNP
- Center for Diabetes Management, PLLC
- Center for Health Management, the
- Centerwell Senior Primary Care Ms PC (CenterWell Senior Primary Care-Gulfport)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.