DR. ADRENNE JANETTE DEDEAUX


Address: 5000 Ridgewood Road, Adrenne Dedeaux, Jackson, MS 39211
Phone: 6013624471

DR. ADRENNE JANETTE DEDEAUX (NPI# 1669754016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669754016
Entity Type Individual
Full Name DR. ADRENNE JANETTE DEDEAUX
Credential PH.D
Practice Address 5000 Ridgewood Road
Adrenne Dedeaux
Jackson
MS 39211
Mailing Address 1500 E. Woodrow Wilson Dr.
Veterans Administration Medical Center
Jackson
MS 39216
Practice Telephone 6013624471
Practice Fax Number 6013641395
Mailing Telephone 6013624471
Mailing Fax Number 6013641395
Enumeration Date 2011-09-12
Last Update Date 2011-09-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker Behavioral Health & Social Service Providers

Office Location

Street Address 5000 RIDGEWOOD ROAD
ADRENNE DEDEAUX
City JACKSON
State MS
Zip Code 39211

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760092878 Bio-medical Applications of Mississippi, Inc. Clinic/Center 5722 I-55 N Frontage Road, Jackson, MS 39211 2020-08-04
1548881048 Gloria Dansby-giles Counselor 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 2020-05-06
1821628223 Alice Powell Taylor St. Dominic Weight Loss Solutions, 3800 Interstate 55 North Frontage Road Suite 102, Jackson, MS 39211 2020-01-24
1356980643 Bethany Powers Pharmacist 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 2020-01-03
1316585581 Deborah Magoun Rosenbaum Pharmacist [email protected], 4910 I-55 North, Jackson, MS 39211 2019-12-18
1285108357 Eric Wood Counselor 4623 Maurey Rd, Jackson, MS 39211 2019-01-11
1649758301 Isluv Robertson Registered Nurse 1405 E Northside Dr, Jackson, MS 39211 2018-08-03
1659863066 Jonbrighton Childs Russell Student in an Organized Health Care Education/Training Program 4343 Dalrymple Ct, Jackson, MS 39211 2018-05-31
1225557598 Regina Ann Day Dietitian, Registered 3800 I 55 North Frontage Road, Jackson, MS 39211 2017-09-18
1023558525 Agilitas Usa Inc Clinic/Center 120 District Blvd E, Suite D102, Jackson, MS 39211 2017-03-02
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750989612 Rhonda Bufkin Social Worker 405 Briarwood Dr Ste 302, Jackson, MS 39206-3052 2020-10-13
1023645884 Cycle of Life Support Community Health Services LLC Social Worker 1520 E Ganson St, Jackson, MI 49202-3530 2020-03-23
1669006532 Alexis Holly Social Worker 405 Briarwood Dr # 302, Jackson, MS 39206-3052 2020-02-28
1609418250 Ashley Frascella Social Worker 13 Parkhill St, Jackson, NJ 08527-3737 2019-10-16
1104475268 Valerie Baker Social Worker 172 W University Pkwy Ste A, Jackson, TN 38305-1622 2019-09-10
1548815863 Lily Kovach Social Worker 6552 Smith Rd, Jackson, MI 49201-9612 2019-08-04
1285298513 Kyla Milan Washington Social Worker 950 W Monroe St Ste 600a&b, Jackson, MI 49202-2079 2019-04-22
1639630551 Pamela Stalter-o'neil Social Worker 5572 Viking Dr, Jackson, MI 49201-8815 2019-03-26
1407316284 Yvonne Vieira Moffett Social Worker 950 W Monroe St Ste A&600b, Jackson, MI 49202-2079 2019-03-20
1710458419 Jasmine Grace Walker Social Worker 338 Galvez St, Jackson, MS 39209-3903 2018-12-06
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Competitor

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City JACKSON
Zip Code 39211

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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