DEENA ASFOUR-MACK


Address: 12450 Three Rivers Rd Apt 57, Gulfport, MS 39503-2974
Phone: 2286977174

DEENA ASFOUR-MACK (NPI# 1871120832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871120832
Entity Type Individual
Full Name DEENA ASFOUR-MACK
Credential LCSW
Practice Address 12450 Three Rivers Rd Apt 57
Gulfport
MS 39503-2974
Mailing Address Po Box 4594
Biloxi
MS 39535-4594
Practice Telephone 2286977174
Mailing Telephone 2282734096
Mailing Fax Number 2285941765
Enumeration Date 2020-03-26
Last Update Date 2020-03-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
8053 MS Behavioral Health & Social Service Providers

Office Location

Street Address 12450 THREE RIVERS RD APT 57
City GULFPORT
State MS
Zip Code 39503-2974

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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
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1477710077 Lindsay Anne Elkins Social Worker 2027 19th St, Gulfport, MS 39501-2916 2008-05-21
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Competitor

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City GULFPORT
Zip Code 39503

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Dataset Information

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.

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