Individual provider · Type 1 NPI
Corvell Coburn, LCSW, RN
Clinical Social Worker · Hattiesburg, MS
Practice location
262 King Rd
Hattiesburg, MS 39402-8503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 906622 (MS) |
| Clinical Social Worker Primary | 1041C0700X | C11412 (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…
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About NPI 1124559232
Corvell Coburn, LCSW, RN's National Provider Identifier is 1124559232, issued on Mar 22, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hattiesburg, MS. The record was last updated on Jan 24, 2025.