MR. DERRICK PRINGLE (NPI# 1518481480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518481480 |
| Entity Type | Individual |
| Full Name | MR. DERRICK PRINGLE |
| Credential | LCSW |
| Practice Address |
110 48th Ave Meridian MS 39307 |
| Mailing Address |
110 48th Ave Meridian MS 39307-6719 |
| Practice Telephone | 6015134359 |
| Mailing Telephone | 6015134359 |
| Mailing Fax Number | 6014852310 |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2018-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C7012 | MS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 8034 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 902 14th St Ste B, Meridian, MS 393014455 | (601) 513-4359 | 6014852310 |
| Street Address |
110 48TH AVE |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824232 | Erica Sheree Smith | Registered Nurse | 1818 College Dr, Meridian, MS 39307 | 2020-02-25 |
| 1821519547 | Leslie Rutkowski | Student in an Organized Health Care Education/Training Program | 2514 67th Avenue Loop Suite 112, Meridian, MS 39307 | 2017-07-03 |
| 1811254931 | Meridian Community College | Dentist | 910 Highway 19 North, Meridian, MS 39307 | 2012-04-13 |
| 1548533672 | Carvan Lorraine Carter | Counselor | 1807 39th Pl, Meridian, MS 39307 | 2012-02-21 |
| 1699921148 | Sara B Smith | Counselor | 1415 College Drive, Meridian, MS 39307 | 2008-08-15 |
| 1285856112 | Jan Parr Boggs | Psychologist | 1508 37th Avenue, Meridian, MS 39307 | 2007-05-02 |
| 1720694029 | Michelle Gomez Dickerson | Registered Nurse | 1818 College Drive, Meridian, MS 39307 | 2020-09-22 |
| 1770116030 | Briana Shanee Brunson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-02-14 |
| 1619507407 | Brenda A Thompson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-01-21 |
| 1205466414 | Arlene Edwards | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-01-16 |
| Find all providers in zip 39307 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467086603 | Abundant Serenity LLC | Social Worker | 925 N Main St Ste A, Meridian, ID 83642-2301 | 2020-02-26 |
| 1124584685 | Kaitlin Cox | Social Worker | 407 South Hill Street, Meridian, TX 76665 | 2019-02-20 |
| 1194208306 | Jamie Connors | Social Worker | 3525 E Louise Dr Suite 500, Meridian, ID 83642-3555 | 2018-09-13 |
| 1811474877 | Clayton Lynn Smith | Social Worker | 2463 E Gala St Ste 100, Meridian, ID 83642-5210 | 2018-07-23 |
| 1649797705 | Katina Thomas | Social Worker | 2517 56th Ct, Meridian, MS 39305-1346 | 2017-08-29 |
| 1710339155 | Caroline Drummond | Social Worker | 2825 S Meridian Rd, # 150, Meridian, ID 83642-7960 | 2016-07-11 |
| 1639539927 | Cecilia Herrera | Social Worker | 2146 W Pine Ave, Meridian, ID 83642-5434 | 2016-02-29 |
| 1821489105 | Corinne Teigen | Social Worker | 5678 N Pinery Canyon Ave, Meridian, ID 83646-5809 | 2015-02-09 |
| 1205226016 | Progress Place LLC | Social Worker | 5144 Clear Creek Dr, Meridian, MS 39301-8896 | 2015-02-01 |
| 1205231834 | Audrey A Mitchell | Social Worker | 3525 E. Louise Dr., Suite 500, Meridian, ID 83642 | 2014-10-24 |
| Find all providers in MERIDIAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.