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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

JONATHAN MCCOLLUM, LCSW
210 SIMMONS ST
MARYVILLE, TN37801-4750
 Phone: 865-970-9800
 Fax: 865-374-7129
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for JONATHAN MCCOLLUM · (Male)

NPI # 1003002734
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 09/17/2007
Last updated 06/11/2014 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 6020
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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