Ms Mia Deshawn Whiteside, LCSW in Shreveport, LA - Medicare Social Worker Provider

Ms Mia Deshawn Whiteside, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Shreveport, Louisiana. Her current practice location is 510 E Stoner Ave, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 221-8411.

Ms Mia Deshawn Whiteside is licensed to practice in Texas (license number 62608) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477925469.

Contact Information

	Ms Mia Deshawn Whiteside, LCSW
	510 E Stoner Ave, Shreveport, LA 71101-4243
	(318) 221-8411
	(915) 742-4890

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Mia Deshawn Whiteside
Gender	Female
Speciality	Social Worker - Clinical
Location	510 E Stoner Ave, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477925469
Provider Enumeration Date: 10/29/2015
Last Update Date: 09/22/2023

Medicare PECOS Information:

PECOS PAC ID: 3072995943
Enrollment ID: I20220809003024

Medical Identifiers

Medical identifiers for Ms Mia Deshawn Whiteside such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477925469	NPI	-	NPPES
62608	Other	TX	ASSOCIATES OF SOCIAL WORK BOARD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	62608 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Mia Deshawn Whiteside allows following entities to bill medicare on her behalf.

Entity Name	Mind Sight Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649653908 PECOS PAC ID: 0648585067 Enrollment ID: O20150813012253

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. Ms Mia Deshawn Whiteside is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Mia Deshawn Whiteside, LCSW 501 East Stoner Avenue, Shreveport, LA 71101 Ph: (318) 221-8411	Ms Mia Deshawn Whiteside, LCSW 510 E Stoner Ave, Shreveport, LA 71101-4243 Ph: (318) 221-8411

Reviews and Comments

Social Worker in Shreveport, LA

Karl Reichter, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 319-990-4401
Mrs. Chelsey Vincent, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 856 Texas Ave, Shreveport, LA 71101 Phone: 318-429-6938
Kemeco Taylor-small, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 Fax: 318-990-5599
Mr. Dock Voorhies, SOCIAL WORKER Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-424-6040 Fax: 318-424-6121
Danielle Bailey, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4111 Pines Rd Unit 65, Shreveport, LA 71119 Phone: 318-613-0147
Charles Lee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6654 Gilbert Pl, Shreveport, LA 71106 Phone: 318-865-4360
Mr. Andrew Wilson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6007 Financial Plz Ste 213, Shreveport, LA 71129 Phone: 318-458-5158 Fax: 318-220-8108

Ms Mia Deshawn Whiteside, LCSW - Medicare Clinical Social Worker in Shreveport, LA