IndividualActive
Cardeia Street
NPI 1386394013 · Social Worker · Greenwood, MS
Provider details
- NPI number
- 1386394013
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
522 W Park Ave Ste Q-R
Greenwood, MS 38930-2906
Phone: (662) 374-5029
Fax: (662) 374-5032
Approximate (ZIP-level) locationGet directions
Mailing address
860 E River Pl Ste 100
Jackson, MS 39202-3442
Registry dates
- Enumerated
- 2022-03-25
- Last updated
- 2022-03-25
- Certified
- 2022-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.