Individual provider Active NPI

Debra Diann Wuichet, LCSW

  • Clinical Social Worker
  • Tupelo, MS
National Provider Identifier
1962012468
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C6219 Issued in MS
Practice address
302 S Spring St
Tupelo, MS 38804-4822
Phone
(662) 584-5097
Fax
(662) 495-4079
NPI assigned
Aug 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C6219 MS Primary

Addresses

Primary practice location

302 S Spring St
Tupelo, MS 38804-4822

Mailing address

503 Maury Cir
Tupelo, MS 38801-4109
Phone (662) 231-0310

Other practice location 1

503 Maury Cir
Tupelo, MS 38801-4109
Phone (662) 231-0310

Other practice location 2

1893 Cliff Gookin Blvd
Tupelo, MS 38801-6558
Phone (662) 584-5097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230720002147 MS Practitioner - Clinical Social Worker 8325408479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heale Counseling LLCGroup PAC ID 7416316880, 32 clinicians

Practice addresses (Care Compare)

302 S Spring St
Tupelo, MS 38804-4853
Phone (662) 205-0098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
261QR0405XMSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heale Counseling, LLC CurrentSince Jun 1, 2023 Accepting new patients

Locations

302 S Spring St
Tupelo, MS 38804
Phone (662) 841-8020

1893 Cliff Gookin Blvd
#A
Tupelo, MS 38801

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1962012468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 MAURY CIR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014109",
            "telephone_number": "662-231-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S SPRING ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388044822",
            "telephone_number": "662-584-5097",
            "fax_number": "662-495-4079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 Maury Cir",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388014109",
            "country_code": "US",
            "telephone_number": "662-231-0310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1893 Cliff Gookin Blvd",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388016558",
            "country_code": "US",
            "telephone_number": "662-584-5097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WUICHET",
        "first_name": "DEBRA",
        "middle_name": "DIANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-09",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C6219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.