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DR. BENETRA MANGUM-JOHNSON PHD, LCSW
NPI 1528610326
Social Worker - Clinical in Jackson, MS

Active since July 11, 2019
2500 N. STATE ST., DEPT. OF PSYCHIATRY AND HUMAN BEHAVIOR (H808), JACKSON, MS 39216(601) 815-6337 Get Directions Write a Review

NPPES record last updated: July 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Benetra Mangum-johnson Phd, Lcsw NPPES

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

DR. BENETRA MANGUM-JOHNSON PHD, LCSW (NPI 1528610326) is an individual clinical provider in Jackson, Mississippi, licensed in Mississippi (C7180) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1528610326
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. BENETRA MANGUM-JOHNSONCredential: PHD, LCSW
Location Address2500 N. STATE ST., DEPT. OF PSYCHIATRY AND HUMAN BEHAVIOR (H808)Jackson, MS 39216
Mailing Address2500 North State Street, Cbo - Suite 4200Jackson, MS 39216-4500 · (601) 496-9794 · Fax (601) 815-0434
Phone(601) 815-6337
Sole ProprietorNo
Enumeration DateJuly 11, 2019
✔ NPI 1528610326 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 · C7180
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.
2500 N. STATE ST., Jackson, MS 39216
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Other Providers at the Same Location NPPES 10

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

DR. GABRIEL WILLIAM TONKIN M.D.
Emergency Medicine
2500 N. STATE ST., DEPT. OF EMERGENCY MEDICINE
JACKSON, MS 39216
Hinds County (601) 984-5582
PATRICIA GARCIA AMOLENDA M.D.
Anesthesiology
2500 N. STATE ST., DEPARTMENT OF ANESTHESIOLOGY
JACKSON, MS 39216
Hinds County (601) 984-5900
DR. HARRY VINCENT PRECHEUR D.M.D.
Dentist (Oral and Maxillofacial Surgery)
2500 N. STATE ST., SCHOOL OF DENTISTRY
JACKSON, MS 39216
Hinds County (601) 984-6090
ANDREW RICHARD HAYSLETT
Pediatrics
2500 N. STATE ST., UMMC, DEPARTMENT OF PEDIATRICS
JACKSON, MS 39216
Hinds County (601) 815-6211
THOMAS HUNTER MANNING JR.
Student in an Organized Health Care Education/Training Program
2500 N. STATE ST.
JACKSON, MS 39216
Hinds County (601) 984-5162
MRS. MEAGAN DANIELLE ALLEN M.S.
Speech-Language Pathologist
2500 N. STATE ST.
JACKSON, MS 39216
Hinds County (601) 984-1000
LAUREN ROWE-HOBBS
Pediatrics
2500 N. STATE ST., PEDIATRICS
JACKSON, MS 39216
Hinds County (601) 984-5200
VIRGINIA WRIGHT M.D.
Internal Medicine
2500 N. STATE ST., DEPARTMENT OF INTERNAL MEDICINE
JACKSON, MS 39216
Hinds County (601) 984-5525

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 Benetra Mangum-johnson's NPI number?

The NPI number for Benetra Mangum-johnson is 1528610326. It was assigned to this individual provider in the NPPES registry on July 11, 2019.

Where is Benetra Mangum-johnson located?

Benetra Mangum-johnson practices at 2500 N. State St. Dept. Of Psychiatry And Human Behavior (h808), Jackson, MS 39216. The listed phone number is (601) 815-6337.

What is Benetra Mangum-johnson's specialty?

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

When was this NPI record last updated?

The NPPES record for Benetra Mangum-johnson was last updated on July 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.