Brenda Joyce Southerland in Knoxville - Clinical
Brenda Joyce Southerland - NPI 1124044110
Brenda Joyce Southerland is a Clinical in Knoxville, Tennessee. Brenda Joyce Southerland practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brenda Joyce Southerland is 1124044110. The last update date is 2007-07-08.
Brenda Joyce Southerland's current location address is 3508 Maryville Pike, Knoxville, Tennessee. You can contact this provider via phone number 8655795886 and fax number 8655795884. The mailing address for Brenda Joyce Southerland is 3508 Maryville Pike, Knoxville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda Joyce Southerland |
|---|---|
| Address | 3508 Maryville Pike, Knoxville, Tennessee |
| Phone Number | 8655795886 |
| Fax Number | 8655795884 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1124044110 |
|---|---|
| Provider Enumeration Date | 2006-07-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3508 Maryville Pike |
|---|---|
| City | Knoxville |
| State | Tennessee (TN) |
| Post Code | 379206195 |
| Phone Number | 8655795886 |
| Fax Number | 8655795884 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3535 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3132589 | TN | BCBS | |
| 3920199 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brenda Joyce Southerland by the Centers for Medicare & Medicaid Services (CMS)?
The Brenda Joyce Southerland has been assigned the NPI (National Provider Identifier) 1124044110. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Brenda Joyce Southerland's facilities are geographically located?
The facilities of Brenda Joyce Southerland are physically situated at the following location: 3508 Maryville Pike, Knoxville, TN, 379206195.
What is the Brenda Joyce Southerland's specialty and taxonomy code?
The Brenda Joyce Southerland's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did Brenda Joyce Southerland receive its 1124044110 assignment?
The Brenda Joyce Southerland was assigned its 1124044110 on 2006-07-14, which is the date when this unique identifier was issued to the organization.
As of what date were the Brenda Joyce Southerland's details last updated?
The information pertaining to the Brenda Joyce Southerland, including its address, specialty, and other details, was most recently updated on 2007-07-08.