Individual
MICAH SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1403 ELLISTON ST, OLD HICKORY, TN 37138-3024
(629) 204-4411
Mailing address
1403 ELLISTON ST, OLD HICKORY, TN 37138-3024
(615) 983-1094
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7664
TN
Other
Enumeration date
10/18/2021
Last updated
07/31/2025
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