Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Heather Wittmann Black, LCSW

Individual provider Clinical Social Worker · NPI 1538491634

MS. Heather Wittmann Black, LCSW is a Clinical Social Worker in Long Beach, Mississippi. Qualified in 2002, 24 years ago. Practices with Serenity Psychotherapy LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
24
Licensed in
MS
In the registry since
2010
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

5095 Beatline Rd
Long Beach, MS 39560-3814
Phone: (228) 223-2205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C5680 (MS)

Record details

NPI number1538491634
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 1, 2010
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Serenity Psychotherapy Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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