Individual provider · Type 1 NPI
Raevin Ashley Wade
Clinical Social Worker · Hattiesburg, MS
Practice location
525 N Main St Fl 3
Hattiesburg, MS 39401-3582
Mailing address
29 Park Pl Apt 1417
Hattiesburg, MS 39402-5902
Other practice locations
- 29 Park Pl, Hattiesburg, MS 39402-1560 · (601) 433-0802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 7063C (AL) |
| Clinical Social Worker Primary | 1041C0700X | C12013 (MS) |
Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
3 other providers at this address
Other clinical social worker providers in Hattiesburg
- Paula G. Hand, LCSWClinical Social Worker Hattiesburg, MS NPI 1003055773
- Riley Herrin, MSW, LCSWClinical Social Worker Hattiesburg, MS NPI 1003699034
- Marian Allen, LMSWClinical Social Worker Hattiesburg, MS NPI 1043615313
- Ava Marie Gunn, LCSWClinical Social Worker Hattiesburg, MS NPI 1053038109
- Ashley Haynes Holford, LCSWClinical Social Worker Hattiesburg, MS NPI 1053354027
- Billie Michelle Brazeal, LCSWClinical Social Worker Hattiesburg, MS NPI 1053708586
- Tara Fulton, LCSWClinical Social Worker Hattiesburg, MS NPI 1073900544
- Lisa Pigg Thompson, LCSWClinical Social Worker Hattiesburg, MS NPI 1104529072
About NPI 1053249763
Raevin Ashley Wade's National Provider Identifier is 1053249763, issued on May 12, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hattiesburg, MS. The record was last updated on Sep 11, 2026.