Charlotte L Daniels, LCSW
Individual provider Active NPI Clinical Social Worker · Pulaski, TN
NPI 1164596839 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164596839
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LSW4487 (TN)
- Practice address
- 170 Locker Road
Pulaski, TN 38478 - Phone
- (931) 363-1414
- Fax
- (931) 363-5743
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW4487 | TN | MD | Clinical Social Worker |
| 4487 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rodrick R. Gregory, M.D.,P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSW4487 | TN | Yes |
Addresses
Primary practice location
170 Locker Road
Pulaski, TN 38478
Mailing address
170 Locker Road
Pulaski, TN 38478
Phone (931) 363-1414
Other providers in Pulaski, TN
- Kathryn Faye Cooner
- County of Giles
- Malcolm A Cox Jr.
- Samantha Roper Cox
- Abigail Grace Cozart
- Thomas David Daniels
- Devonna Davis
- Gwendolyn Davis
- Hannah Davis
- Holly Camille Davis
All providers in Pulaski, TN · Clinical Social Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.