Thomas Bennington II
Individual provider Active NPI Social Worker · Biloxi, MS
NPI 1891456539 · NPPES record last updated Aug 17, 2026
Key facts
- NPI
- 1891456539
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- C11114 (MS)
- Practice address
- 400 Veterans Ave
Biloxi, MS 39531-2410 - Phone
- (228) 523-8341
- NPI assigned
- Jan 5, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M9826 | MS | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | C11114 | MS | Yes |
Addresses
Primary practice location
400 Veterans Ave
Biloxi, MS 39531-2410
Mailing address
400 Veterans Ave
Biloxi, MS 39531-2410
Phone (228) 523-8341
Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.