RESILIENT DRIVEN LIFE, LLC
NPI 1649919614
Social Worker - Clinical in Hattiesburg, MS

Active since May 31, 2022
602 ADELINE ST # B2, HATTIESBURG, MS 39401(601) 408-0448 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Resilient Driven Life, Llc NPPES

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

RESILIENT DRIVEN LIFE, LLC (NPI 1649919614) is a healthcare organization registered as a clinical in Hattiesburg, Mississippi and active in the NPI registry since May 2022. The organization lists Tiffiney R Hill, Owner, as its authorized official.

NPPES Registry Identity

NPI1649919614
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameRESILIENT DRIVEN LIFE, LLC
Location Address602 ADELINE ST # B2Hattiesburg, MS 39401-3802
Mailing Address76 Lakeland CirPetal, MS 39465-8716 · (601) 408-0448
Organization SubpartNo
Authorized OfficialTiffiney R HillOwner · (601) 408-0448
Enumeration DateMay 31, 2022
NPPES CertifiedMay 31, 2022
✔ NPI 1649919614 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.
602 ADELINE ST # B2, Hattiesburg, MS 39401

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Resilient Driven Life, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Resilient Driven Life, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1225408115
602 ADELINE ST STE B2
Hattiesburg, MS 39401
(769) 301-9280
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Resilient Driven Life, LLC's NPI number?

The NPI number for Resilient Driven Life, LLC is 1649919614. It was assigned to this organization in the NPPES registry on May 31, 2022.

Where is Resilient Driven Life, LLC located?

Resilient Driven Life, LLC is located at 602 Adeline St # B2, Hattiesburg, MS 39401. The listed phone number is (601) 408-0448.

What is Resilient Driven Life, LLC's specialty?

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

Is Resilient Driven Life, LLC enrolled in Medicare?

Yes. Resilient Driven Life, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Resilient Driven Life, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Resilient Driven Life, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Resilient Driven Life, LLC was last updated on May 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.