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COMMUNITY WELLNESS AND REHAB, LLC
NPI 1093522864
Social Worker - Clinical in Gulfport, MS

Active since December 16, 2024
25911 SANDY CREEK CT, GULFPORT, MS 39503(337) 853-2292 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Community Wellness And Rehab, Llc NPPES

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

COMMUNITY WELLNESS AND REHAB, LLC (NPI 1093522864) is a healthcare organization registered as a clinical in Gulfport, Mississippi and active in the NPI registry since December 2024. The organization lists Terrance Joseph Skidmore, Director, Lcsw, as its authorized official.

NPPES Registry Identity

NPI1093522864
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCOMMUNITY WELLNESS AND REHAB, LLC
Location Address25911 SANDY CREEK CTGulfport, MS 39503-7014
Mailing Address25911 Sandy Creek CtGulfport, MS 39503-7014 · (337) 853-2292
Phone(337) 853-2292
Organization SubpartNo
Authorized OfficialTerrance Joseph SkidmoreDirector, Lcsw · (337) 853-2292
Enumeration DateDecember 16, 2024
Last NPPES UpdateDecember 18, 2024
NPPES CertifiedDecember 18, 2024
✔ NPI 1093522864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
25911 SANDY CREEK CT, Gulfport, MS 39503
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Community Wellness And Rehab, LLC's NPI number?

The NPI number for Community Wellness And Rehab, LLC is 1093522864. It was assigned to this organization in the NPPES registry on December 16, 2024.

Where is Community Wellness And Rehab, LLC located?

Community Wellness And Rehab, LLC is located at 25911 Sandy Creek Ct, Gulfport, MS 39503. The listed phone number is (337) 853-2292.

What is Community Wellness And Rehab, LLC'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 Community Wellness And Rehab, LLC was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.