Susan L Hewgley, LCSW

Individual provider Active NPI Clinical Social Worker · Ardmore, TN

NPI 1376671545 · NPPES record last updated Dec 11, 2013

Key facts

NPI
1376671545
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
5485 (TN)
Practice address
25850 Main St
Ardmore, TN 38449-3156
Phone
(931) 427-6052
Fax
(931) 427-6053
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 5485 TN Yes

Addresses

Primary practice location

25850 Main St
Ardmore, TN 38449-3156

Mailing address

25850 Main St
Ardmore, TN 38449-3156
Phone (931) 427-6052

Other providers in Ardmore, TN

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

Sources for this page

Verify at the official NPI Registry.