Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BENETRA MANGUM-JOHNSON, PHD, LCSW
ActiveDR. BENETRA MANGUM-JOHNSON, PHD, LCSW is a Clinical Social Worker healthcare provider located in JACKSON, Mississippi. NPI 1528610326 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · JACKSON, MS
Registration Details
- NPI Number
- 1528610326
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 11, 2019 (7.0536832761977 yrs)
- Last Updated
- Jul 11, 2019
- License
-
C7180 (MS)
Practice Information
- Address
-
2500 N. STATE ST.DEPT. OF PSYCHIATRY AND HUMAN BEHAVIOR (H808)JACKSON, MS, 39216Browse MS providers · Browse ZIP 39216
- Phone
- 6018156337
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| MRS. SUSAN F. SNYDER | LCSW | 1073573176 |
| ALICE H EMANUEL | LCSW | 1609804483 |
| MS. GLORIA E HARDIN | LCSW | 1811927973 |
| SARALYN L WALKER | LCSW | 1104844281 |
| STEPHEN J JOHNSON | LCSW | 1548277700 |
| MS. GWENDOLYN MICHELLE SANDERS | MSW, LCSW | 1386751261 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.