Individual
MS. ELISE F. WARING-VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
617 POTOMAC PL, SUITE 401, SMYRNA, TN 37167-5657
(615) 267-0779
(615) 625-3371
Mailing address
617 POTOMAC PL, SUITE 401, SMYRNA, TN 37167-5657
(615) 267-0779
(615) 625-3371
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
752
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11521649
CAQH
TN
Enumeration date
10/19/2006
Last updated
07/18/2011
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