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MR. KIPP WILLIAM HEATHERLY LCSW
NPI 1750638557
Social Worker - Clinical in Oxford, MS

Active since August 10, 2012
152 HIGHWAY 7 S, OXFORD, MS 38655(662) 234-7521(662) 236-3071 Get Directions Write a Review

NPPES record last updated: March 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kipp William Heatherly Lcsw NPPES

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

MR. KIPP WILLIAM HEATHERLY LCSW (NPI 1750638557) is an individual clinical provider in Oxford, Mississippi, licensed in Mississippi (C7948) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1750638557
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KIPP WILLIAM HEATHERLYCredential: LCSW
Location Address152 HIGHWAY 7 SOxford, MS 38655-5392
Mailing Address152 Highway 7 SOxford, MS 38655-5392 · (662) 234-7521 · Fax (662) 236-3071
Phone(662) 234-7521
Fax(662) 236-3071
Sole ProprietorYes
Enumeration DateAugust 10, 2012
Last NPPES UpdateMarch 3, 2016
✔ NPI 1750638557 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 · C7948
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.
152 HIGHWAY 7 S, Oxford, MS 38655
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Other Providers at the Same Location NPPES 20

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

MRS. CASSIE BRADSHAW HELMS MS, PCMHT
Counselor (Mental Health)
152 HIGHWAY 7 S
OXFORD, MS 38655
Lafayette County (662) 234-7521
VANESSA WASHINGTON M.ED.
Counselor (Mental Health)
152 HIGHWAY 7 S
OXFORD, MS 38655
Lafayette County (662) 234-7521
ADALYN GRACE MCMURRAY MS
Counselor (Mental Health)
152 HIGHWAY 7 S
OXFORD, MS 38655
Lafayette County (662) 234-7521
MS. KAREN THERESA PEAIRS M.A., J.D.
Counselor (Mental Health)
152 HIGHWAY 7 S
OXFORD, MS 38655
Lafayette County (662) 234-7521
TENCY WEATHERSPOON
Counselor (Professional)
152 HIGHWAY 7 S
OXFORD, MS 38655
Lafayette County (662) 234-7521
JOHN RICE JR. BSW
Social Worker
152 HIGHWAY 7 S
OXFORD, MS 38655
Lafayette County (662) 234-7521
JASMINE JANAY ARMSTRONG LBSW
Social Worker
152 HIGHWAY 7 S
OXFORD, MS 38655
Lafayette County (662) 234-7521
MS. SELENA K RAINER BSW
Social Worker
152 HIGHWAY 7 S
OXFORD, MS 38655
Lafayette County (662) 234-7521

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 Kipp Heatherly's NPI number?

The NPI number for Kipp Heatherly is 1750638557. It was assigned to this individual provider in the NPPES registry on August 10, 2012.

Where is Kipp Heatherly located?

Kipp Heatherly practices at 152 Highway 7 S, Oxford, MS 38655. The listed phone number is (662) 234-7521.

What is Kipp Heatherly'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 Kipp Heatherly was last updated on March 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.