IndividualActive
Angela Gaddis, LCSW
NPI 1114132800 · Clinical Social Worker · Clinton, MS
Provider details
- NPI number
- 1114132800
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- C2169 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
132 Fairmont St Ste D
Clinton, MS 39056-4721
Phone: (601) 842-1890
Approximate (ZIP-level) locationGet directions
Mailing address
102 Goshen Springs Ln
Brandon, MS 39047-7246
Registry dates
- Enumerated
- 2007-05-14
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.