MEMORIAL BEHAVIORAL HEALTH
NPI 1649685561
Social Worker - Clinical in Gulfport, MS

Q: What is Memorial Hospital @ Gulfport's NPI number?

The NPI number for Memorial Hospital @ Gulfport is 1649685561. It was assigned to this organization in the NPPES registry on June 30, 2014. The provider is doing business as Memorial Behavioral Health.

Q: What is Memorial Hospital @ Gulfport's specialty?

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

Active since June 30, 2014

11150 HIGHWAY 49, GULFPORT, MS 39503(228) 575-1000(228) 575-2002 Get Directions Write a Review

NPPES record last updated: June 30, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Memorial Behavioral Health NPPES

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

MEMORIAL BEHAVIORAL HEALTH (NPI 1649685561) is a healthcare organization registered as a clinical in Gulfport, Mississippi and active in the NPI registry since June 2014. The organization lists Michelle E Johnson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1649685561

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameMEMORIAL HOSPITAL @ GULFPORT

Location Address11150 HIGHWAY 49Gulfport, MS 39503-4110

Mailing Address11150 Highway 49Gulfport, MS 39503-4110 · (228) 575-1000 · Fax (228) 575-2002

Phone(228) 575-1000

Fax(228) 575-2002

Organization SubpartNo

Authorized OfficialMichelle E JohnsonOffice Manager · (228) 575-1970

Enumeration DateJune 30, 2014

✔ NPI 1649685561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MS · C6816

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.

11150 HIGHWAY 49, Gulfport, MS 39503

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Other Names 1

Doing Business AsMemorial Behavioral Health

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTHONY WOMACK POLLARD PH.D.

Psychologist (Counseling)