Provider Demographics
NPI:1932942208
Name:MCSWAIN, JAMEKA
Entity type:Individual
Prefix:MS
First Name:JAMEKA
Middle Name:
Last Name:MCSWAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:189 N WIND RIDGE LN APT D
Mailing Address - Street 2:
Mailing Address - City:PURVIS
Mailing Address - State:MS
Mailing Address - Zip Code:39475-3701
Mailing Address - Country:US
Mailing Address - Phone:601-818-0883
Mailing Address - Fax:
Practice Address - Street 1:189 N WIND RIDGE LN APT D
Practice Address - Street 2:
Practice Address - City:PURVIS
Practice Address - State:MS
Practice Address - Zip Code:39475-3701
Practice Address - Country:US
Practice Address - Phone:601-818-0883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-14
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.113437104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker