Provider Demographics
NPI:1114578762
Name:CAROUTHERS, TERICA L (LMSW)
Entity Type:Individual
Prefix:
First Name:TERICA
Middle Name:L
Last Name:CAROUTHERS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6283 WILLOW WALK WAY
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38002-4454
Mailing Address - Country:US
Mailing Address - Phone:901-317-9720
Mailing Address - Fax:
Practice Address - Street 1:6283 WILLOW WALK WAY
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38002-4454
Practice Address - Country:US
Practice Address - Phone:901-317-9720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10942104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker