Faucett, Kimberly Joann
Faucett, Kimberly Joann is an sole proprietor health care provider with primary practice located at 659 Morganton Square Dr , Maryville TN 37801-4763. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Faucett, Kimberly Joann can be contacted via phone (865) 293-9025.Contact Information
Primary practice address
659 Morganton Square Dr
Maryville TN 37801-4763
Phone: (865) 293-9025
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LSW4143 | Tennessee |
Profile Details
| NPI number | 1396744132 |
|---|---|
| LBN Legal business name | Faucett, Kimberly Joann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Apr 14th, 2011 - about 13 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 | 1396744132 | NPPES |
| Tennessee | MEDICAID | 3927623 |
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