Autman, Kasey J.

Autman, Kasey J. is an individual health care provider with primary practice located at 557 Grants Ferry Rd , Brandon MS 39047-9023. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Autman, Kasey J. can be contacted via phone (601) 665-4162.

Contact Information

Primary practice address
557 Grants Ferry Rd Brandon MS 39047-9023
Fax: (855) 830-3484
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C8027 Mississippi

Profile Details

NPI number 1881099943
LBN Legal business name Autman, Kasey J.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2014
Last updated Dec 7th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881099943 NPPES
Mississippi MEDICAID 008472028

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