Organization Name: | DAVID FRIEND, LCSW |
NPI Number: | 1003146440 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID FRIEND (OWNER) |
Mailing Address: | 9631 W Emory Rd. Knoxville |
State: | TN US |
Postal Code: | 37931 |
Phone Number: | 8652199559 |
Fax Number: | |
NPI Enumeration Date: | 01/07/2010 |
NPI Last Update Date: | 10/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 5272 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |