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

Mr. Halle Ricketts, MSWLICSW/LCSWLSSW

Individual provider Clinical Social Worker · NPI 1033367719

Mr. Halle Ricketts, MSWLICSW/LCSWLSSW is a Clinical Social Worker in Grenada, Mississippi. Practices as a sole proprietor. Licensed in Minnesota and Mississippi.

Licensed in
MN, MS
In the registry since
2008
Specialties on file
3

Practice location Address checks out

121 N Lynch St
Grenada, MS 38901-2004
Phone: (601) 226-0284
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C6249 (MS)
Clinical Social Worker Taxonomy 1041C0700X · Licence 14301 (MN)
School Social Worker Taxonomy 1041S0200X · Licence 383604 (MN)

Record details

NPI number1033367719
Entity typeIndividual (Type 1)
GenderMale
Credentials MSWLICSW/LCSWLSSW
Sole proprietorYes
NPI enumeratedSeptember 5, 2008
Last updated in NPPESSeptember 5, 2008

Other providers in Grenada