Individual provider · Type 1 NPI

Benetra Mangum-Johnson, PhD, LCSW

Clinical Social Worker · Jackson, MS

NPI number 1528610326 Active

Practice location

2500 N. State St., Dept. Of Psychiatry And Human Behavior (H808)
Jackson, MS 39216

Call (601) 815-6337 Map

Mailing address

2500 North State Street, Cbo - Suite 4200
Jackson, MS 39216-4500

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC7180 (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 1528610326

Benetra Mangum-Johnson, PhD, LCSW's National Provider Identifier is 1528610326, issued on Jul 11, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jackson, MS. The record was last updated on Jul 11, 2019.