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NPI · 1164767778 · NPPES-sourced

Shannon Church LCSW

ActiveClinical Social Worker
NPI Number
1164767778
Type 1 · Individual
Taxonomy Code
1041C0700X
Contact
(228) 867-5202
License MS · C2562
Last Updated
Enumerated
Primary practice addressMS · 39501-2404
1340 Broad Ave, Ste 410Gulfport, MS 39501-2404
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About this NPIWhat this record shows.

NPI 1164767778 is registered to Shannon Church LCSW, a Clinical Social Worker practising at 1340 Broad Ave, Ste 410 in Gulfport, Mississippi. Clinical Social Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Shannon Church LCSW has been enumerated in the National Provider Identifier (NPI) registry since 2012.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Shannon Church LCSW accepts. To confirm in-network status with your specific health plan, contact Shannon Church LCSW directly at (228) 867-5202.

Frequently asked

Yes. NPI 1164767778 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinical Social Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (228) 867-5202.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Shannon Church LCSW is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy1041C0700X
Last updated
Enumerated
StatusActive
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