Individual
REBECCA FOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1208 MERCHANT DR, KNOXVILLE, TN 37912-4707
(865) 688-2522
(833) 908-2097
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 381-1509
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10577 (LMSW LICENSE)
TN
1041C0700X
Clinical Social Worker
Primary
7079
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q050049
—
TN
Enumeration date
08/07/2014
Last updated
02/07/2024
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