Doctor Name: | DEBORAH WINOKER |
NPI Number: | 1043476336 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LSW0000000502 |
Business Practice Address: | 451 Bmh Physicians Office Bldg Maryville, TN - 378045807 |
Business Phone Number: | 8659812315 |
Business Fax Number: | 8659812302 |
Mailing Address: | Po Box 5629, MARYVILLE |
State: | TN |
Postal Code: | 378025629 |
Phone Number: | 8652731752 |
Fax Number: | 8652731755 |
NPI Enumeration Date: | 08/06/2008 |
NPI Last Update Date: | 11/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LSW0000000502 |
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 |