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Mr. Corvell Coburn, LCSW,RN
Clinical Social Worker in Hattiesburg, Mississippi
NPI 1124559232

Corvell Coburn is a Clinical Social Worker based in Hattiesburg, MS and is specialized in Clinical. Corvell Coburn practices in Hattiesburg, MS and has the professional credentials of LCSW,RN. The NPI Number for Corvell Coburn is 1124559232 and holds a License No. 906622 (Mississippi).

The current practice location address for Corvell Coburn is 262 King Rd, Hattiesburg, MS and can be reached out via phone at 662-769-1024.

Location: 262 King Rd, Hattiesburg, MS, 39402-8503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124559232
Provider Name
Corvell Coburn
Credential
LCSW,RN
Provider Entity Type
Individual
Gender
Male
Address
262 King Rd, Hattiesburg, MS, 39402-8503
Phone Number
662-769-1024
Fax Number
Provider Enumeration Date
03/22/2017
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
262 King Rd
City
Hattiesburg
State
Mississippi
Zip
39402-8503
Phone Number
662-769-1024
Fax Number
person
Provider Business Mailing Address Details
Address
262 King Rd
City
Hattiesburg
State
Mississippi
Zip
39402-8503
Phone Number
662-769-1024
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
C11412 (Mississippi)
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
906622 (Mississippi)
Definition
Definition to come...
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