Community Wellness and Rehab, LLC
NPI 1093522864 · Clinical Social Worker · Gulfport, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Community Wellness and Rehab, LLC is a Clinical Social Worker organization in Gulfport, MS (NPI 1093522864).
Provider details
- NPI number
- 1093522864
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Terrance Skidmore, Director, Lcsw(337) 853-2292
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-12-16
- Last updated
- 2024-12-18
- Certified
- 2024-12-18
Frequently asked questions
- What is Community Wellness and Rehab, LLC's NPI number?
- Community Wellness and Rehab, LLC's National Provider Identifier (NPI) is 1093522864, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Community Wellness and Rehab, LLC?
- Community Wellness and Rehab, LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Community Wellness and Rehab, LLC located?
- Community Wellness and Rehab, LLC's practice location on file with NPPES is 25911 Sandy Creek Ct, Gulfport, MS 39503-7014.
- What is Community Wellness and Rehab, LLC's phone number?
- The practice phone number listed in the NPPES registry for Community Wellness and Rehab, LLC is (337) 853-2292.
- Does Community Wellness and Rehab, LLC accept Medicare?
- Community Wellness and Rehab, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Community Wellness and Rehab, LLC?
- The authorized official listed on Community Wellness and Rehab, LLC's NPPES record is Terrance Skidmore, Director, Lcsw. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Community Wellness and Rehab, LLC's NPI active?
- Yes — Community Wellness and Rehab, LLC's NPI (1093522864) is active in the NPPES registry as of the last update on 2024-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.