Provider Demographics
NPI:1225735103
Name:SMITH, DEBORAH HOPE (LMSW)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:HOPE
Last Name:SMITH
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 1:1054 HARTSVILLE PIKE UNIT 54
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-2795
Mailing Address - Country:US
Mailing Address - Phone:615-812-0803
Mailing Address - Fax:
Practice Address - Street 1:1054 HARTSVILLE PIKE UNIT 54
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-2795
Practice Address - Country:US
Practice Address - Phone:615-812-0803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11849104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker