Individual
MS. SUSAN KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
265 BROOKVIEW CENTRE WAY STE 400, KNOXVILLE, TN 37919-4052
(865) 500-1264
Mailing address
265 BROOKVIEW CENTRE WAY STE 400, KNOXVILLE, TN 37919-4052
(865) 500-1264
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1323
NH
1041C0700X
Clinical Social Worker
Primary
8404
TN
1041C0700X
Clinical Social Worker
C005432
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6007744
—
NC
Enumeration date
09/06/2006
Last updated
03/08/2023
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