Organization · Type 2 NPI

Urban Rehab, Inc

Clinical Social Worker · Clinton, MS

NPI number 1417370313 Active

Practice location

901 Highway 80 E
Clinton, MS 39056-5244

Call (601) 927-0188 Map

Fax (601) 292-7998

Mailing address

PO Box 2305
Clinton, MS 39060-2305

Other practice locations

  • 4680 Mcwillie Dr, Jackson, MS 39206-5621 · (601) 272-2202
  • 4111 N Port Washington Rd, Milwaukee, WI 53212-1029 · (601) 927-0188

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XAD09-046M (MS)
Clinical Social Worker Primary 1041C0700XM7217 (MS)
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed

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…

10 other providers at this address

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About NPI 1417370313

Urban Rehab, Inc's National Provider Identifier is 1417370313, issued on Jan 28, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Clinton, MS. The record was last updated on Oct 27, 2025.