1. Home
  2. Directory
  3. Mississippi
  4. Hattiesburg
  5. Social Worker
  6. NPI Profile

RAEVIN ASHLEY WADE
NPI 1053249763
Social Worker - Clinical in Hattiesburg, MS

Active since May 12, 2026PECOS Enrolled
525 N MAIN ST FL 3, HATTIESBURG, MS 39401(601) 699-4080 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raevin Ashley Wade NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAEVIN ASHLEY WADE (NPI 1053249763) is an individual clinical provider in Hattiesburg, Mississippi, licensed in Mississippi (C12013) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hattiesburg.

NPPES Registry Identity

NPI1053249763
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameRAEVIN ASHLEY WADE
Location Address525 N MAIN ST FL 3Hattiesburg, MS 39401-3582
Mailing Address29 Park Pl Apt 1417Hattiesburg, MS 39402-5902 · (601) 433-0802
Phone(601) 699-4080
Sole ProprietorNo
Enumeration DateMay 12, 2026
NPPES CertifiedMay 12, 2026
✔ NPI 1053249763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MS · C12013
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
525 N MAIN ST FL 3, Hattiesburg, MS 39401
Open in Google Maps ↗

Secondary Practice Location 1

Location 129 Park PlHattiesburg, MS 39402-1560 · Phone (601) 433-0802

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raevin Ashley Wade is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $51.65 – $159.18
Typical copayment $0.00 (range $12.91 – $39.79)
Most-billed visit code NA
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIA MARGARET FOLSE LMSW
Social Worker
525 N MAIN ST FL 3
HATTIESBURG, MS 39401
Forrest County (601) 699-4080
MONICA FERGUSON LMSW
Social Worker
525 N MAIN ST FL 3
HATTIESBURG, MS 39401
Forrest County (601) 699-4080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raevin Wade's NPI number?

The NPI number for Raevin Wade is 1053249763. It was assigned to this individual provider in the NPPES registry on May 12, 2026.

Where is Raevin Wade located?

Raevin Wade practices at 525 N Main St Fl 3, Hattiesburg, MS 39401. The listed phone number is (601) 699-4080.

What is Raevin Wade's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Raevin Wade enrolled in Medicare?

Yes. Raevin Wade is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raevin Wade was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.