Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Benetra Mangum-Johnson, PHD, LCSW

Individual provider Clinical Social Worker · NPI 1528610326

Dr. Benetra Mangum-Johnson, PHD, LCSW is a Clinical Social Worker in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2019.

Licensed in
MS
In the registry since
2019
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2500 N State St Dept OF Psychiatry And Human Behavior (H808)
Jackson, MS 39216
Phone: (601) 815-6337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C7180 (MS)

Record details

NPI number1528610326
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LCSW
Sole proprietorNo
NPI enumeratedJuly 11, 2019
Last updated in NPPESJuly 11, 2019

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