Provider Demographics
NPI:1518023639
Name:SANDERS, CAROLE ANN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CAROLE
Middle Name:ANN
Last Name:SANDERS
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 1:4525 HARDING PIKE
Mailing Address - Street 2:SUITE 231
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2119
Mailing Address - Country:US
Mailing Address - Phone:615-620-4462
Mailing Address - Fax:615-620-4488
Practice Address - Street 1:4525 HARDING PIKE
Practice Address - Street 2:SUITE 231
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2119
Practice Address - Country:US
Practice Address - Phone:615-620-4462
Practice Address - Fax:615-620-4488
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW00000035921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3920127Medicare ID - Type Unspecified