| Ms Heather Wittmann Black, LCSW | |
|
5095 Beatline Rd, Long Beach, MS 39560-3814 | |
| (228) 223-2205 | |
| Not Available |
| Full Name | Ms Heather Wittmann Black |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 24 Years |
| Location | 5095 Beatline Rd, Long Beach, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538491634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C5680 (Mississippi) | Primary |
| Entity Name | Serenity Psychotherapy Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295258101 PECOS PAC ID: 9234402967 Enrollment ID: O20170831002191 |
| Entity Name | Tbd Acquisition Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750891792 PECOS PAC ID: 7911272257 Enrollment ID: O20171219001761 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Heather Wittmann Black, LCSW 222 Boggs Cir, Long Beach, MS 39560-5807 Ph: (228) 223-2205 | Ms Heather Wittmann Black, LCSW 5095 Beatline Rd, Long Beach, MS 39560-3814 Ph: (228) 223-2205 |
Angela S. Fields, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4011 Beatline Rd Ste 9, Long Beach, MS 39560 Phone: 228-332-0224 | |
Mrs. Ann M Allen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 98 Jeff Davis Ave, Suite B, Long Beach, MS 39560 Phone: 228-236-7608 | |
Pamela Libys, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4013 Beatline Rd Ste A, Long Beach, MS 39560 Phone: 228-200-0720 | |
Miss Amber Lynn Lowe, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 578 Mockingbird Drive, Long Beach, MS 39560 Phone: 228-523-5000 | |
Mrs. Alana B. Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 527 Mockingbird Dr, Long Beach, MS 39560 Phone: 228-669-9252 | |
Joseph Devlin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 730 E Beach Blvd, Long Beach, MS 39560 Phone: 228-314-3262 |