Klubnik, Jodi R

Klubnik, Jodi R is an individual health care provider with primary practice located at 11530 Us 49 Suite E , Gulfport MS 39503-3950. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Klubnik, Jodi R can be contacted via phone (228) 707-2007.

Contact Information

Primary practice address
11530 Us 49 Suite E Gulfport MS 39503-3950
Phone: (228) 707-2007
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X M9094 Mississippi
Behavioral Health & Social Service Providers / Clinical 1041C0700X C9094 Mississippi

Profile Details

NPI number 1952776684
LBN Legal business name Klubnik, Jodi R
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2015
Last updated Feb 25th, 2025 - about last year

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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