Provider Demographics
NPI:1033425483
Name:FUTRELL, NARICIA MCGOWEN (LCSW)
Entity Type:Individual
Prefix:DR
First Name:NARICIA
Middle Name:MCGOWEN
Last Name:FUTRELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 342868
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38184-2868
Mailing Address - Country:US
Mailing Address - Phone:901-443-8895
Mailing Address - Fax:
Practice Address - Street 1:5281 NAVY RD
Practice Address - Street 2:
Practice Address - City:MILLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38053-2535
Practice Address - Country:US
Practice Address - Phone:901-443-8895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW0000008295104100000X
TN59811041C0700X
AR10390C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ012285Medicaid