Provider Demographics
NPI:1285855908
Name:STAMPS, CATHEY LYNNE (LCSW)
Entity Type:Individual
Prefix:
First Name:CATHEY
Middle Name:LYNNE
Last Name:STAMPS
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 1:1812 RUSSELL ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-2050
Mailing Address - Country:US
Mailing Address - Phone:615-262-2089
Mailing Address - Fax:
Practice Address - Street 1:1812 RUSSELL ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37206-2050
Practice Address - Country:US
Practice Address - Phone:615-262-2089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical