Individual
MR. MICHAEL E. WENTWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2900 TAZEWELL PIKE STE G, KNOXVILLE, TN 37918-1880
(207) 478-4774
Mailing address
2900 TAZEWELL PIKE STE G, KNOXVILLE, TN 37918-1880
(207) 478-4774
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC10696
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q012079
—
TN
Enumeration date
10/30/2009
Last updated
03/14/2018
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