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VIVIAN KELLER TATE LCSW
NPI 1063531663
Social Worker - Clinical in Gulfport, MS

Active since March 28, 2007
1403 43RD AVENUE, GULFPORT, MS 39501(228) 897-7730(228) 575-0886 Get Directions Write a Review

NPPES record last updated: September 22, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vivian Keller Tate Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIVIAN KELLER TATE LCSW (NPI 1063531663) is an individual clinical provider in Gulfport, Mississippi, licensed in Mississippi (C2058) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1063531663
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameVIVIAN KELLER TATECredential: LCSW
Location Address1403 43RD AVENUEGulfport, MS 39501
Mailing AddressP.o. Box 7827Gulfport, MS 39506 · (228) 897-7730 · Fax (228) 575-0886
Phone(228) 897-7730
Fax(228) 575-0886
Sole ProprietorYes
Enumeration DateMarch 28, 2007
Last NPPES UpdateSeptember 22, 2010
✔ NPI 1063531663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in MS · C2058✔ Licensed in MS · 2561
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.
1403 43RD AVENUE, Gulfport, MS 39501
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Other Identifiers 1

Medicare ID-Type Unspecified800000055MS · Medicare Provider Number

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivian Tate's NPI number?

The NPI number for Vivian Tate is 1063531663. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Vivian Tate located?

Vivian Tate practices at 1403 43rd Avenue, Gulfport, MS 39501. The listed phone number is (228) 897-7730.

What is Vivian Tate's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Vivian Tate was last updated on September 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.