Individual
JAMIE LYNN LANGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, RPT-S
Contact information
Practice address
617 POTOMAC PL STE 401, SMYRNA, TN 37167-5657
(615) 267-0779
(615) 625-3371
Mailing address
617 POTOMAC PL STE 401, SMYRNA, TN 37167-5657
(615) 267-0779
(615) 625-3371
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
992
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3696718
MEDICARE
—
05
—
3696718
—
TN
Enumeration date
10/03/2006
Last updated
09/02/2016
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