Urban Rehab, Inc
NPI 1417370313ActiveOrganization· Social Worker, Clinical· Clinton, MS
Social Worker, Clinical in Clinton, Mississippi, registered in NPPES in January 2014. The authorized official on file is Philip B. Massey, LCSW, CADC II, Executive Director. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1417370313 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 28, 2014 |
| Last updated in NPPES | Oct 27, 2025 |
| Certified by provider | Oct 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | M7217 | MS |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | AD09-046M | MS |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS); Part B Supplier - Clinic/Group Practice (WI) |
|---|
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