Provider Demographics
NPI:1619630274
Name:WINTERS, ALI (DSW, LCSW)
Entity Type:Individual
Prefix:DR
First Name:ALI
Middle Name:
Last Name:WINTERS
Suffix:
Gender:F
Credentials:DSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 RIDGEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANT VIEW
Mailing Address - State:TN
Mailing Address - Zip Code:37146-7022
Mailing Address - Country:US
Mailing Address - Phone:615-708-7275
Mailing Address - Fax:
Practice Address - Street 1:1009 RIDGEVIEW DR
Practice Address - Street 2:
Practice Address - City:PLEASANT VIEW
Practice Address - State:TN
Practice Address - Zip Code:37146-7022
Practice Address - Country:US
Practice Address - Phone:615-708-7274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN46261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical