| Vivian Keller Tate, LCSW | |
|
1403 43rd Avenue, Gulfport, MS 39501 | |
| (228) 897-7730 | |
| (228) 575-0886 |
| Full Name | Vivian Keller Tate |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1403 43rd Avenue, Gulfport, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063531663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2561 (Mississippi) | Secondary |
| 1041C0700X | Social Worker - Clinical | C2058 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Vivian Keller Tate, LCSW P.o. Box 7827, Gulfport, MS 39506 Ph: (228) 897-7730 | Vivian Keller Tate, LCSW 1403 43rd Avenue, Gulfport, MS 39501 Ph: (228) 897-7730 |
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 |