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

NPI Status: Active since August 10, 2012

Contact Information

152 HIGHWAY 7 S
OXFORD, MS
ZIP 38655
Phone: (662) 234-7521
Fax: (662) 236-3071

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  • Individual
  • Male
  • Social Worker
  • Clinical

About KIPP HEATHERLY

This page provides the complete NPI Profile along with additional information for Kipp Heatherly, a provider established in Oxford, Mississippi with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1750638557 assigned on August 2012. The practitioner's primary taxonomy code is 1041C0700X with license number C7948 (MS). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1750638557
Provider Name
MR. KIPP WILLIAM HEATHERLY LCSW
Gender
Male
Entity Type
Individual
Location Address
152 HIGHWAY 7 S OXFORD, MS 38655
Location Phone
(662) 234-7521
Location Fax
(662) 236-3071
Mailing Address
152 HIGHWAY 7 S OXFORD, MS 38655
Mailing Phone
(662) 234-7521
Mailing Fax
(662) 236-3071
Is Sole Proprietor?
Yes
Enumeration Date
08-10-2012
Last Update Date
03-03-2016
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A clinical social worker like Kipp Heatherly is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
C7948
License State
MS
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750638557
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710012316510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 2 + 3 + 1 + 6 + 5 + 1 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1750638557 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962597708DR. MICHAEL DEAN ROBERTS PH.D.
Individual
Psychologist (Clinical)152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1487865101MRS. MAKESHIA RHODEN-MCAFEE MS, PCMHT
Individual
Counselor (Mental Health)152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1699968040 DIXIE J CHURCH MA
Individual
Marriage & Family Therapist152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1740463447MR. HEATH REED STEVENS M.ED.
Individual
Counselor (Mental Health)152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1770767402 AMBER KRISTEN KIRK LMSW
Individual
Social Worker152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1851575591MS. CHARLSEA DEE CLARK-STOWE M.S.
Individual
Counselor (Mental Health)152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1447433149 JAMES LOYD TYSON JR. M.S
Individual
Marriage & Family Therapist152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1952585630MR. WILLIAM ROBERT LAKE M. ED. L. M. F. T.
Individual
Marriage & Family Therapist152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1649454356MR. RODERICK LEE VESTER M.A.
Individual
Counselor (Mental Health)152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1013191642MS. KAREN THERESA PEAIRS M.A., J.D.
Individual
Counselor (Mental Health)152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1124202775MS. LISA A. BYARS M.S.S.W., L.C.S.W.
Individual
Social Worker (Clinical)152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1154505899MS. SELENA DOBILAS MS
Individual
Counselor (Mental Health)152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1124202874 ALISSA JONAS DIBLASIO MS PCMHT
Individual
Counselor (Mental Health)152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1942484589MS. GILLIAN MEREDITH LOVE LPC
Individual
Counselor (Professional)152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1508040288 CATHERINE BEST DAVIS CMHT
Individual
Counselor152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1386828002MR. MARC E WALTERS PCMHT
Individual
Counselor (Mental Health)152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1023292653MRS. PAMELA R CROWDER LMFT
Individual
Marriage & Family Therapist152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1467636126MRS. ANGELIA ROYER LENSCHAU LMSW
Individual
Social Worker152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1033393616MRS. KARON LOUISE STANFORD M.S.
Individual
Counselor (Mental Health)152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1265616866 JULIE GARNER
Individual
Counselor (Mental Health)152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750638557, enumerated in the NPI registry as an "individual" on August 10, 2012

The provider is located at 152 Highway 7 S Oxford, Ms 38655 and the phone number is (662) 234-7521

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

This NPI record was last updated on August 10, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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