Individual provider Active NPI

Aubree Middleton, LCSW

  • Social Worker
  • Laurel, MS
National Provider Identifier
1992532543
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
C11118 Issued in MS
Practice address
2002 Highway 15 N Ste D
Laurel, MS 39440-1983
Phone
(601) 426-9614
NPI assigned
Sep 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X C11118 MS Primary

Addresses

Primary practice location

2002 Highway 15 N Ste D
Laurel, MS 39440-1983

Mailing address

PO Box 247
Laurel, MS 39441-0247
Phone (601) 425-7550

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
I20250113001617 MS Practitioner - Clinical Social Worker 2062940406 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minor Med Care, LLCGroup PAC ID 7618866021, 77 clinicians
South Central Clinics, IncGroup PAC ID 4385876655, 117 clinicians
Uppal Medical Center LLCGroup PAC ID 4587998547, 129 clinicians
MDB Behavioral Health Services LLCGroup PAC ID 0749572915, 201 clinicians

Practice addresses (Care Compare)

120 W Main St
Raymond, MS 39154-1223
Phone (601) 857-2341

1203 Ave B
Ellisville, MS 39437-2080
Phone (601) 477-2226

1727 E Union St
Greenville, MS 38703-3253
Phone (662) 537-4830

1911 Mission
66 Suite B
Vicksburg, MS 39180-3762
Phone (601) 456-2598

2002 Hwy 15 N
Suite D
Laurel, MS 39440-1983
Phone (601) 649-1013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C11118MSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Clinics, Inc CurrentSince Nov 7, 2024 Accepting new patients
South Central Clinics, Inc Current Accepting new patients
Uppal Medical Center LLC CurrentSince Feb 1, 2026 Accepting new patients
MDB Behavioral Health Services LLC CurrentSince Feb 1, 2026 Accepting new patients
South Central Clinics, Inc CurrentSince Nov 7, 2024 Accepting new patients
Minor Med Care, LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

1203 B Ave
Ellisville, MS 39437
Phone (601) 477-8553

1727 E Union St
Greenville, MS 38703
Phone (662) 332-0373

2860 McDowell Road Ext
Jackson, MS 39204
Phone (601) 372-1117

2002 Highway 15 N
#Ds
Laurel, MS 39440
Phone (601) 649-1013

Organizations & group practices 7

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": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1992532543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394410247",
            "telephone_number": "601-425-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 HIGHWAY 15 N STE D",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401983",
            "telephone_number": "601-426-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "AUBREE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "C11118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

Verify at the official NPI Registry.