Individual
SUSAN RENEE HEWITT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4330 MAYNARDVILLE HWY, MAYNARDVILLE, TN 37807-3618
(865) 992-3849
(865) 992-5166
Mailing address
DEPARTMENT 888182, KNOXVILLE, TN 37995-0001
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW5692
TN
1041C0700X
Clinical Social Worker
LSW4440
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3927586
—
TN
Enumeration date
07/12/2005
Last updated
07/08/2007
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