Central Mississippi Prevention Services Inc in Vicksburg - Clinical
Central Mississippi Prevention Services Inc - NPI 1942478144
Central Mississippi Prevention Services Inc is a Clinical in Vicksburg, Mississippi. Central Mississippi Prevention Services Inc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Central Mississippi Prevention Services Inc is 1942478144. The last update date is 2008-02-11.
Central Mississippi Prevention Services Inc's current location address is 1911 Mission 66 Ste B, Vicksburg, Mississippi. You can contact this provider via phone number 6016310102 and fax number 6016310131. The mailing address for Central Mississippi Prevention Services Inc is 1911 Mission 66 Ste B, Vicksburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Mississippi Prevention Services Inc |
|---|---|
| Address | 1911 Mission 66 Ste B, Vicksburg, Mississippi |
| Phone Number | 6016310102 |
| Fax Number | 6016310131 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Johnson Daniel Joseph |
| Telephone Number | 6016310102 |
NPI Number Detail
| NPI Number | 1942478144 |
|---|---|
| Provider Enumeration Date | 2008-02-11 |
| Last Updated Date | 2008-02-11 |
Provider Mailing Address Detail
| Address | 1911 Mission 66 Ste B |
|---|---|
| City | Vicksburg |
| State | Mississippi (MS) |
| Post Code | 391803762 |
| Phone Number | 6016310102 |
| Fax Number | 6016310131 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C1126 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 535256 | MS | -- |
Post Comment/ Review Below
What is the Central Mississippi Prevention Services Inc's unique identification number?
The Central Mississippi Prevention Services Inc has been assigned the NPI (National Provider Identifier) Number 1942478144 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Central Mississippi Prevention Services Inc is geographically located?
The Central Mississippi Prevention Services Inc is physically situated at the following location: 1911 Mission 66 Ste B, Vicksburg, MS, 391803762.
What is Central Mississippi Prevention Services Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Central Mississippi Prevention Services Inc is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1942478144 to Central Mississippi Prevention Services Inc?
The Centers for Medicare & Medicaid Services originally issued the 1942478144 to Central Mississippi Prevention Services Inc on 2008-02-11.
When was the information related to Central Mississippi Prevention Services Inc most recently updated or refreshed?
The details pertaining to the Central Mississippi Prevention Services Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-02-11.
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