IndividualActive
Kipp Heatherly, LCSW
NPI 1750638557 · Clinical Social Worker · Oxford, MS
Kipp Heatherly, LCSW is a Clinical Social Worker provider in Oxford, MS (NPI 1750638557).
Provider details
- NPI number
- 1750638557
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- C7948 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs 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
152 Highway 7 S
Oxford, MS 38655-5392
Phone: (662) 234-7521
Fax: (662) 236-3071
Street-level locationGet directions
Mailing address
152 Highway 7 S
Oxford, MS 38655-5392
Registry dates
- Enumerated
- 2012-08-10
- Last updated
- 2016-03-03
Frequently asked questions
- What is Kipp Heatherly's NPI number?
- Kipp Heatherly's National Provider Identifier (NPI) is 1750638557, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kipp Heatherly's specialty?
- Kipp Heatherly is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kipp Heatherly located?
- Kipp Heatherly's practice location on file with NPPES is 152 Highway 7 S, Oxford, MS 38655-5392.
- What is Kipp Heatherly's phone number?
- The practice phone number listed in the NPPES registry for Kipp Heatherly is (662) 234-7521.
- Is Kipp Heatherly's NPI active?
- Yes — Kipp Heatherly's NPI (1750638557) is active in the NPPES registry as of the last update on 2016-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.