Provider Demographics
NPI:1164493938
Name:COMER, TONYA KATHLEEN (LCSW)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:KATHLEEN
Last Name:COMER
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 1:2900 TAZEWELL PIKE STE G
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-1880
Mailing Address - Country:US
Mailing Address - Phone:865-689-4421
Mailing Address - Fax:
Practice Address - Street 1:2900 TAZEWELL PIKE STE G
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-1880
Practice Address - Country:US
Practice Address - Phone:865-689-4421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2019-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN67901041C0700X
TNCSW67901041C0700X
TNTN50571041C0700X
TNLSW50571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical