Provider Demographics
NPI:1659820694
Name:WOODS, COURTNEY CAMILLE (LMSW)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:CAMILLE
Last Name:WOODS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 HICKORY GLN
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39110-7605
Mailing Address - Country:US
Mailing Address - Phone:601-510-5050
Mailing Address - Fax:
Practice Address - Street 1:108 HICKORY GLN
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110-7605
Practice Address - Country:US
Practice Address - Phone:601-510-5050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-03
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSM82921041S0200X
MSC82921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool