Provider Demographics
NPI:1467129296
Name:MCNELLY, HANNAH (MSW)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:MCNELLY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7116 BATES PIKE SE
Mailing Address - Street 2:
Mailing Address - City:OLD FORT
Mailing Address - State:TN
Mailing Address - Zip Code:37362-5151
Mailing Address - Country:US
Mailing Address - Phone:423-584-5815
Mailing Address - Fax:
Practice Address - Street 1:7116 BATES PIKE SE
Practice Address - Street 2:
Practice Address - City:OLD FORT
Practice Address - State:TN
Practice Address - Zip Code:37362-5151
Practice Address - Country:US
Practice Address - Phone:423-584-5815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-28
Last Update Date:2021-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker