IndividualActive
Raevin Wade
NPI 1053249763 · Clinical Social Worker · Hattiesburg, MS
Raevin Wade is a Clinical Social Worker provider in Hattiesburg, MS (NPI 1053249763).
Provider details
- NPI number
- 1053249763
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- C12013 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
525 N Main St Fl 3
Hattiesburg, MS 39401-3582
Phone: (601) 699-4080
Street-level locationGet directions
Mailing address
29 Park Pl Apt 1417
Hattiesburg, MS 39402-5902
Additional practice locations (1)
- 29 Park PlHattiesburg, MS 39402-1560Phone: (601) 433-0802
Registry dates
- Enumerated
- 2026-05-12
- Last updated
- 2026-05-12
- Certified
- 2026-05-12
Frequently asked questions
- What is Raevin Wade's NPI number?
- Raevin Wade's National Provider Identifier (NPI) is 1053249763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raevin Wade's specialty?
- Raevin Wade is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Raevin Wade located?
- Raevin Wade's practice location on file with NPPES is 525 N Main St Fl 3, Hattiesburg, MS 39401-3582.
- What is Raevin Wade's phone number?
- The practice phone number listed in the NPPES registry for Raevin Wade is (601) 699-4080.
- Is Raevin Wade's NPI active?
- Yes — Raevin Wade's NPI (1053249763) is active in the NPPES registry as of the last update on 2026-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.