Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Corvell Coburn, LCSW, RN

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1124559232

Mr. Corvell Coburn, LCSW, RN is a Psychiatric/Mental Health Registered Nurse in Hattiesburg, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2017
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

262 King Rd
Hattiesburg, MS 39402-8503
Phone: (662) 769-1024
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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 C11412 (MS)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 906622 (MS)

Record details

NPI number1124559232
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , RN
Sole proprietorYes
NPI enumeratedMarch 22, 2017
Last updated in NPPESJanuary 24, 2025
Certification dateJanuary 24, 2025

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