Booker, Edna
Booker, Edna is an sole proprietor health care provider with primary practice located at 3213 River Maple Way Apt 307 , Knoxville TN 37914-6374. She recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist, Residential Treatment Facilities / Substance Abuse Treatment, Children, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Booker, Edna can be contacted via phone (865) 621-6856.Contact Information
Primary practice address
3213 River Maple Way Apt 307
Knoxville TN 37914-6374
Phone: (865) 621-6856
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | ||
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Other Service Providers / Peer Specialist | 175T00000X | ||
Residential Treatment Facilities / Substance Abuse Treatment, Children | 3245S0500X | ||
Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
NPI number | 1932679065 |
---|---|
LBN Legal business name | Booker, Edna |
Credentials | LMSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 2nd, 2018 |
Last updated | Dec 2nd, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1932679065 | NPPES |
Tennessee | Other | LMSW0000007584 | LICENSED MASTER SOCIAL WORK |
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