Provider Demographics
NPI:1104188531
Name:SCRAGGS, DEANNA (LMSSW, LMSW)
Entity Type:Individual
Prefix:MS
First Name:DEANNA
Middle Name:
Last Name:SCRAGGS
Suffix:
Gender:F
Credentials:LMSSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5710 JACKSBORO PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-4120
Mailing Address - Country:US
Mailing Address - Phone:865-228-5555
Mailing Address - Fax:
Practice Address - Street 1:5710 JACKSBORO PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-4120
Practice Address - Country:US
Practice Address - Phone:865-228-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14708171M00000X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator