Provider Demographics
NPI:1598426009
Name:CLIFTON, JAN ZURLIENE (LCSW)
Entity Type:Individual
Prefix:
First Name:JAN
Middle Name:ZURLIENE
Last Name:CLIFTON
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 1:635 HARPETH KNOLL RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-3513
Mailing Address - Country:US
Mailing Address - Phone:615-974-4785
Mailing Address - Fax:
Practice Address - Street 1:4525 HARDING PIKE STE 200
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2154
Practice Address - Country:US
Practice Address - Phone:615-974-4785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-06
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN58281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical