Healthcare Provider Details

I. General information

NPI: 1821834870
Provider Name (Legal Business Name): PATRICIA M CURB-VARNADO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MABLE PATRICIA CURB LMSW

II. Dates (important events)

Enumeration Date: 07/08/2024
Last Update Date: 07/26/2024
Certification Date: 07/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 HUTCHINSON AVE
HATTIESBURG MS
39401-4134
US

IV. Provider business mailing address

PO BOX 1729
HATTIESBURG MS
39403-1729
US

V. Phone/Fax

Practice location:
  • Phone: 601-450-0310
  • Fax: 601-450-0321
Mailing address:
  • Phone: 601-545-8700
  • Fax: 601-582-5461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number11063
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: