Shannon Ann Church, LCSW - Clinical Social Worker in Gulfport, MS

Shannon Ann Church, LCSW is a Social Worker - Clinical based in Gulfport, Mississippi. Shannon Ann Church is licensed to practice in Mississippi (license number C2562) and her current practice location is 1340 Broad Ave, Ste 410, Gulfport, Mississippi. She can be reached at her office (for appointments etc.) via phone at (228) 867-5202.

NPI number for Shannon Ann Church is 1164767778 and her current mailing address is 11150 Highway 49, Gulfport, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164767778.

Contact Information

Shannon Ann Church, LCSW
1340 Broad Ave, Ste 410,
Gulfport, MS 39501-2404
(228) 867-5202
(228) 867-5007

Map and Direction




Healthcare Provider's Profile

Full NameShannon Ann Church
GenderFemale
SpecialitySocial Worker - Clinical
Location1340 Broad Ave, Gulfport, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164767778
  • Provider Enumeration Date: 12/07/2012
  • Last Update Date: 12/07/2012

Medical Identifiers

Medical identifiers for Shannon Ann Church such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164767778NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical C2562 (Mississippi)Primary
1041C0700XSocial Worker - Clinical 2999 (Louisiana)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Ann Church is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shannon Ann Church, LCSW
11150 Highway 49,
Gulfport, MS 39503-4110

Ph: (228) 867-5202
Shannon Ann Church, LCSW
1340 Broad Ave, Ste 410,
Gulfport, MS 39501-2404

Ph: (228) 867-5202

Reviews and Comments


Social Worker in Gulfport, MS

Dr. Shelia Rivers, DSW, LCSW, MPH
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 417 Security Sq, Gulfport, MS 39507
Phone: 707-728-5131    
Mrs. Mona Marie Holloway, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1520 29th Ave Ste 36, Gulfport, MS 39501
Phone: 228-591-1442    
Ms. Susan Elizabeth Pyles, LCSW, BCD
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 11070 David St, Gulfport, MS 39503
Phone: 228-990-5217    Fax: 228-594-9155
Mrs. Jocelyn Gavin-lane, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 10585 Three Rivers Rd, Suite C, Gulfport, MS 39503
Phone: 228-604-0099    Fax: 228-604-2001
Dr. Lauren Suzanne Zakaras, LCSW, DBH
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 15465 Oak Ln, Ste. D, Gulfport, MS 39503
Phone: 765-720-3730    
Shannon Deirdre Bradley, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 5502 Marvin Shields Blvd, Gulfport, MS 39501
Phone: 228-822-5710    
Vivian Keller Tate, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1403 43rd Avenue, Gulfport, MS 39501
Phone: 228-897-7730    Fax: 228-575-0886

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.