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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LEGACY 4 CHANGE

Active Organization

LEGACY 4 CHANGE is a Clinical Social Worker organization located in JACKSON, Mississippi. NPI 1912664509 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · JACKSON, MS

Registration Details

NPI Number
1912664509
Provider Type
Organization
NPI Issued
Nov 18, 2021 (4.7166086156559 yrs)
Last Updated
Jan 20, 2022

Practice Information

Address
2891 TERRY RD
JACKSON, MS, 392123051
Browse MS providers · Browse ZIP 39212
Phone
7692038141
Primary Specialty
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.