| Robyn Dewhirst, Lcsw | |
|
24119 N Benville Rd Picayune MS 39466-9800 | |
| (228) 865-1330 | |
| (228) 865-1331 |
| Full Name | Robyn Dewhirst, Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 24119 N Benville Rd, Picayune, Mississippi |
| Authorized Official Name and Position | Robyn Dewhirst (OWNER) |
| Authorized Official Contact | 2288651330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robyn Dewhirst, Lcsw 24119 N Benville Rd Picayune MS 39466-9800 Ph: (228) 865-1330 | Robyn Dewhirst, Lcsw 24119 N Benville Rd Picayune MS 39466-9800 Ph: (228) 865-1330 |
| NPI Number | 1013725365 |
|---|---|
| Provider Enumeration Date | 12/19/2024 |
| Last Update Date | 01/14/2025 |
| Certification Date | 01/14/2025 |
| Medicare PECOS PAC ID | 9335676642 |
|---|---|
| Medicare Enrollment ID | O20241227001911 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013725365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Robyn Dewhirst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962701508 PECOS PAC ID: 0547438392 Enrollment ID: I20241227002025 |
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