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NPI Code Detail

MEDICARE: NADEANE CATTRELL LCSW

MEDICARE: NADEANE CATTRELL LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerC-10482MS

General Provider Information

NPI Number : 1821780065
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADEANE CATTRELL LCSW
Provider Business Mailing Address
First Line : 407 BRIARWOOD DR STE 209
Second Line :
City : JACKSON
State : MS
Zip : 39206-3036
Country : US
Telephone Number : 601-957-7670
Fax Number :
Provider Business Practice Location Address
First Line : 407 BRIARWOOD DR STE 209
Second Line :
City : JACKSON
State : MS
Zip : 39206-3036
Country : US
Telephone Number : 601-957-7670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2023
Last Update Date : 06/19/2025

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Directions to “ NADEANE CATTRELL LCSW” Practice Location

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