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

Vivian Keller Tate, LCSW

Individual provider Clinical Social Worker · NPI 1063531663

Vivian Keller Tate, LCSW is a Clinical Social Worker in Gulfport, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2007
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1403 43rd Ave
Gulfport, MS 39501
Phone: (228) 897-7730
Fax: (228) 575-0886
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C2058 (MS)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2561 (MS)

Record details

NPI number1063531663
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 28, 2007
Last updated in NPPESSeptember 22, 2010

Other providers in Gulfport