De'Anna Benson, LMSW

Individual provider Active NPI Clinical Social Worker · Clarksville, TN

NPI 1134878622 · NPPES record last updated Mar 22, 2022

Key facts

NPI
1134878622
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
13224 (TN)
Practice address
1989 Madison St Ste 222
Clarksville, TN 37043-5067
Phone
(931) 266-6954
Fax
(866) 371-4056
NPI assigned
Mar 22, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
256630KYMDClinical Social Worker
13224TNMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 256630 KY
Clinical Social Worker 1041C0700X 13224 TN Yes

Addresses

Primary practice location

1989 Madison St Ste 222
Clarksville, TN 37043-5067

Mailing address

2500 Deanna Cir Apt 3I
Oak Grove, KY 42262-9392
Phone (463) 999-6736

Other providers in Clarksville, TN

All providers in Clarksville, TN · Clinical Social Worker in Tennessee

Sources for this page

Verify at the official NPI Registry.