Caver, Madison Rene'
Caver, Madison Rene' is an individual health care provider with primary practice located at 920 Boone St , Tupelo MS 38804-5908. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Caver, Madison Rene' can be contacted via phone (662) 844-3531.Contact Information
Primary practice address
920 Boone St
Tupelo MS 38804-5908
Phone: (662) 844-3531
Fax: (662) 844-1757
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | M8774 | Mississippi |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Social Worker | 104100000X | M8774 | Mississippi |
Profile Details
NPI number | 1083041222 |
---|---|
LBN Legal business name | Caver, Madison Rene' |
Credentials | LMSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 2nd, 2013 |
Last updated | May 21st, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083041222 | NPPES |
Mississippi | MEDICAID | 00018203 |
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