Rodnecia Joiner, LCSW

Individual provider Active NPI Clinical Social Worker · Raymond, MS

NPI 1083312938 · NPPES record last updated Feb 20, 2023

Key facts

NPI
1083312938
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
C10374 (MS)
Practice address
104 Magnolia Dr
Raymond, MS 39154-7826
Phone
(601) 421-4411
NPI assigned
Feb 20, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
C10374MSMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C10374 MS Yes

Addresses

Primary practice location

104 Magnolia Dr
Raymond, MS 39154-7826

Mailing address

104 Magnolia Dr
Raymond, MS 39154-7826

Other identifiers

IdentifierTypeStateIssuer
568946544OtherMSBCBS
236MedicaidMS
5874OtherMSHEATH PARTNERS

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL rjoiner@trilogy-health.com

Other providers in Raymond, MS

All providers in Raymond, MS · Clinical Social Worker in Mississippi

Sources for this page

Verify at the official NPI Registry.