Active NPI
Terri Pinson, LCSW
- Social Worker
- Camp Shelby, MS
National Provider Identifier
1861522989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- C7138
- Practice address
- 1442 16TH Street
Medical Task Force Shelby
Camp Shelby, MS 39407 - Phone
- (601) 558-4772
- Fax
- (601) 558-2226
- NPI assigned
- Mar 7, 2007
- Last updated
- May 28, 2013
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | C7138 | MS | Primary |
Addresses
Primary practice location
1442 16TH Street
Medical Task Force Shelby
Camp Shelby, MS 39407
Mailing address
PO Box 405
Purvis, MS 39475-0405
Phone (601) 466-7156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18212 | Medicaid | MS |
Other names 1
- Mrs. Terri Pinson
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7138 | MS | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxie Gordon MD & Associates, PLLC | Past | Accepting new patients | |
| Integrity Health Services, LLC | Past | 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.
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dba Gordon Medical Arts Clinic
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- Clinton, MS
- NPI 1114105665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369699200000",
"number": "1861522989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 405",
"city": "PURVIS",
"state": "MS",
"postal_code": "394750405",
"telephone_number": "601-466-7156",
"fax_number": "601-558-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1442 16TH STREET",
"address_2": "MEDICAL TASK FORCE SHELBY",
"city": "CAMP SHELBY",
"state": "MS",
"postal_code": "39407",
"telephone_number": "601-558-4772",
"fax_number": "601-558-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINSON",
"first_name": "TERRI",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2013-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MS",
"license": "C7138",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18212",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TERRI",
"last_name": "PINSON",
"prefix": "MRS.",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Camp Shelby, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.