MR. ROBERT WESLEY PEAKS (NPI# 1700890225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700890225 |
| Entity Type | Individual |
| Full Name | MR. ROBERT WESLEY PEAKS |
| Credential | LCSW |
| Practice Address |
127 Gary St C/o Coast Counseling Center Gulfport MS 39503-3503 |
| Mailing Address |
Po Box 3367 C/o Coast Counseling Center Gulfport MS 39505-3367 |
| Practice Telephone | 2288320556 |
| Practice Fax Number | 2288314495 |
| Mailing Telephone | 2288320556 |
| Mailing Fax Number | 2288314495 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2008-01-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C6804 | MS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04389042 | 05 |
| Street Address |
127 GARY ST C/O COAST COUNSELING CENTER |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-3503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376587915 | Jason Kyle Madigan | Social Worker | 127 Gary St, Gulfport, MS 39503-3503 | 2006-06-15 |
| 1003062480 | Brenda Kay Crew | Counselor | 127 Gary St, Gulfport, MS 39503-3503 | 2008-08-17 |
| 1497969315 | Michelle Marie Eleuterius | Social Worker | 127 Gary St, Gulfport, MS 39503-3503 | 2007-05-09 |
| 1750412912 | Gatto Bay, Inc | Counselor | 127 Gary St, Gulfport, MS 39503-3503 | 2007-03-08 |
| 1023023454 | Sean Carley Bell | Social Worker | 127 Gary St, Gulfport, MS 39503-3503 | 2006-07-31 |
| 1790799138 | Christine Annette Smothers | Counselor | 127 Gary St, Gulfport, MS 39503-3503 | 2006-07-29 |
| 1528072048 | Sandra Cheryl Hall | Social Worker | 127 Gary St, Coast Counseling Center, Gulfport, MS 39503-3503 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| 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 |
|---|---|---|---|---|
| 1871120832 | Deena Asfour-mack | Social Worker | 12450 Three Rivers Rd Apt 57, Gulfport, MS 39503-2974 | 2020-03-26 |
| 1871076935 | Janice Luiszer Lemieux | Social Worker | 5005 24th Ave S, Gulfport, FL 33707-5111 | 2018-09-13 |
| 1588157374 | Elizabeth Boehm Zimmerman | Social Worker | 1613 23rd Ave, Gulfport, MS 39501-2960 | 2018-06-07 |
| 1003324419 | Tbd Acquisition II, LLC | Social Worker | 11150 Highway 49 Ste B, Gulfport, MS 39503-4110 | 2018-01-19 |
| 1194239392 | Jennifer Lynn Williams | Social Worker | 5301 Snead St, Gulfport, MS 39501-9018 | 2017-11-27 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| 1821528183 | Isaure Caviness | Social Worker | 1323 Poplar Ave, Gulfport, MS 39507-2044 | 2017-06-19 |
| 1487907168 | Elizabeth Willis Waterman | Social Worker | 12236 Ashley Dr, Suite B, Gulfport, MS 39503-2759 | 2012-10-18 |
| 1538491634 | Heather Wittmann Black | Social Worker | 2214 25th Ave Unit 2, Gulfport, MS 39501-4520 | 2010-02-01 |
| 1659503712 | Lynn T. Murphy | Social Worker | 13613 Hidden Oaks Dr, Gulfport, MS 39503-7049 | 2009-08-21 |
| Find all providers in GULFPORT | ||||
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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.