Individual
MS. DONNA B SOUTHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7003 CHADWICK DR, STE 153, BRENTWOOD, TN 37027
(615) 370-8473
(615) 370-8433
Mailing address
PO BOX 2371, BRENTWOOD, TN 37024-2371
(615) 370-8473
(615) 370-8433
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000853
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0122967
BCBS
—
Enumeration date
12/01/2006
Last updated
07/08/2007
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