Doctor Name: | MR. THOMAS DAVID DANIELS |
NPI Number: | 1134287832 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | LSW3575 |
Business Practice Address: | 170 Locker Road Pulaski, TN - 38478 |
Business Phone Number: | 9313631414 |
Business Fax Number: | 9313635743 |
Mailing Address: | 170 Locker Road, PULASKI |
State: | TN |
Postal Code: | 38478 |
Phone Number: | 9313631414 |
Fax Number: | 9313635743 |
NPI Enumeration Date: | 12/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LSW3575 |
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 |