Hewitt, Susan Renee
Hewitt, Susan Renee is an individual health care provider with primary practice located at 4330 Maynardville Hwy , Maynardville TN 37807-3618. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hewitt, Susan Renee can be contacted via phone (865) 992-3849.Contact Information
Primary practice address
4330 Maynardville Hwy
Maynardville TN 37807-3618
Phone: (865) 992-3849
Fax: (865) 992-5166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW5692 | Tennessee |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LSW4440 | Tennessee |
Profile Details
| NPI number | 1144228321 |
|---|---|
| LBN Legal business name | Hewitt, Susan Renee |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1144228321 | NPPES |
| Tennessee | MEDICAID | 3927586 |
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