Provider Demographics
NPI:1578278792
Name:LEETH, NATASHA ARNWINE (LCSW)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:ARNWINE
Last Name:LEETH
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 1:5706 CAPESIDE LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37931-4052
Mailing Address - Country:US
Mailing Address - Phone:865-254-3547
Mailing Address - Fax:
Practice Address - Street 1:5706 CAPESIDE LN
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37931-4052
Practice Address - Country:US
Practice Address - Phone:865-254-3547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW00000040021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical