Provider Demographics
NPI:1235823949
Name:DOUGLASS, CAMRYN (MSSW)
Entity Type:Individual
Prefix:
First Name:CAMRYN
Middle Name:
Last Name:DOUGLASS
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4409 CARLTON DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-4100
Mailing Address - Country:US
Mailing Address - Phone:615-927-7598
Mailing Address - Fax:
Practice Address - Street 1:1161 MURFREESBORO PIKE STE 300
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-2264
Practice Address - Country:US
Practice Address - Phone:615-988-4763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker