Active NPI
Gulf Coast Social Work LLC
- Social Worker
- Moss Point, MS
National Provider Identifier
1831961762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- GULF COAST SOCIAL WORK LLC
- Practice address
- 4836 Main St
Moss Point, MS 39563-2700 - Phone
- (228) 278-5109
- Fax
- (866) 364-0421
- NPI assigned
- Oct 24, 2023
- Last updated
- Apr 11, 2025
- 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
- Mrs. Karen Melinda Zittleman, LCSW
- Title
- President
- Phone
- (228) 326-7575
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
4836 Main St
Moss Point, MS 39563-2700
Mailing address
PO Box 1703
Ocean Springs, MS 39566-1703
Phone (228) 278-5109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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
- Ocean Springs, MS
- NPI 1063779734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744329600000",
"number": "1831961762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1703",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395661703",
"telephone_number": "228-278-5109",
"fax_number": "866-364-0421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4836 MAIN ST",
"city": "MOSS POINT",
"state": "MS",
"postal_code": "395632700",
"telephone_number": "228-278-5109",
"fax_number": "866-364-0421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GULF COAST SOCIAL WORK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-24",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A",
"authorized_official_last_name": "ZITTLEMAN",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "MELINDA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "228-326-7575",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moss Point, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.