KYLE BIRDWELL (NPI# 1871016600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871016600 |
| Entity Type | Individual |
| Full Name | KYLE BIRDWELL |
| Credential | LCSW |
| Practice Address |
110 Patton Ave Hattiesburg MS 39401-6155 |
| Mailing Address |
104 Beverly Dr Petal MS 39465-3702 |
| Practice Telephone | 6015821111 |
| Mailing Telephone | 6013192742 |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2020-11-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C8215 | MS | Behavioral Health & Social Service Providers |
| Street Address |
110 PATTON AVE |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401-6155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649466954 | Nazmul Talukdar | Psychiatry & Neurology | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2007-09-20 |
| 1811402043 | Amanda Gregory | Counselor | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-12-11 |
| 1164937314 | Tamecia Myers | Social Worker | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-12-11 |
| 1992210140 | Lisa Warner | Marriage & Family Therapist | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-12-11 |
| 1811413685 | Lakeshia Triplett | Counselor | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-08-14 |
| 1891219069 | Sophia Badon | Counselor | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-07-31 |
| 1578087748 | Kertrina Beverly | Counselor | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-07-31 |
| 1740704923 | Franciel Brown | Counselor | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-07-31 |
| 1245753060 | William Taylor | Counselor | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-07-24 |
| 1740703578 | Torrance Wade | Counselor | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2017-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| 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 |
|---|---|---|---|---|
| 1962019745 | Jennifer Baker Sheridan | Social Worker | 615 W Pine St, Hattiesburg, MS 39401-3835 | 2020-09-25 |
| 1982214458 | Devin Ariel Williams | Social Worker | 1246 Beverly Hills Rd Apt 306, Hattiesburg, MS 39401-4483 | 2020-08-08 |
| 1366958399 | Sharon Griffin | Social Worker | 5891 U S Highway 49 Ste 60-198, Hattiesburg, MS 39402-2810 | 2017-12-28 |
| 1073900544 | Tara Fulton | Social Worker | 707 Corinne St, Hattiesburg, MS 39401-3854 | 2015-04-22 |
| 1326462169 | Amanda M. Heitmuller | Social Worker | 1110 Estelle St, Hattiesburg, MS 39402-2714 | 2014-02-14 |
| 1669805883 | Judith Rebecca Hartfield | Social Worker | 7 Professional Pkwy Ste 103, Hattiesburg, MS 39402-2648 | 2013-08-12 |
| 1306132717 | Deborah N Graham | Social Worker | 913 S Tipton St, Hattiesburg, MS 39401-2729 | 2011-06-23 |
| 1679883409 | Shana Marlene Keyes | Social Worker | 4010 O'ferral Street, Suite 110, Hattiesburg, MS 39402 | 2010-10-14 |
| 1184958902 | Heather J Wilkes | Social Worker | 207 3rd Ave, Hattiesburg, MS 39401-3868 | 2009-09-25 |
| 1467684191 | Sheila R Priestley | Social Worker | 125 Pinehills Dr, Hattiesburg, MS 39402-3316 | 2009-08-13 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39401 |
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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.