Provider Demographics
NPI:1821834870
Name:CURB-VARNADO, PATRICIA M (LCSW)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:M
Last Name:CURB-VARNADO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MABLE
Other - Middle Name:PATRICIA
Other - Last Name:CURB
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:PO BOX 1729
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39403-1729
Mailing Address - Country:US
Mailing Address - Phone:601-545-8700
Mailing Address - Fax:601-582-5461
Practice Address - Street 1:301 HUTCHINSON AVE
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39401-4134
Practice Address - Country:US
Practice Address - Phone:601-450-0310
Practice Address - Fax:601-450-0321
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-08
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS110631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical