Christina B James, LCSW

Individual provider Active NPI Clinical Social Worker · Bay Saint Louis, MS

NPI 1104461417 · NPPES record last updated Oct 29, 2024

Key facts

NPI
1104461417
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
C9542 (MS)
Practice address
303 Highway 90
Bay Saint Louis, MS 39520-2832
Phone
(228) 238-0992
NPI assigned
Nov 11, 2019
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
C9542MSMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C9542 MS Yes

Addresses

Primary practice location

303 Highway 90
Bay Saint Louis, MS 39520-2832

Mailing address

303 Highway 90
Bay Saint Louis, MS 39520-2832
Phone (228) 238-0992

Other providers in Bay Saint Louis, MS

All providers in Bay Saint Louis, MS · Clinical Social Worker in Mississippi

Sources for this page

Verify at the official NPI Registry.