Provider Demographics
NPI:1568028553
Name:SINGLETON, DAVID WAYNE (LMSW)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:WAYNE
Last Name:SINGLETON
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14945 GREENWELL CIR
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39532-8396
Mailing Address - Country:US
Mailing Address - Phone:228-229-5081
Mailing Address - Fax:
Practice Address - Street 1:400 VETERANS AVE # 25-2
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39531-2410
Practice Address - Country:US
Practice Address - Phone:228-523-5787
Practice Address - Fax:228-523-5820
Is Sole Proprietor?:No
Enumeration Date:2019-05-15
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4055G104100000X
MSM8848104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker