Provider Demographics
NPI:1659712727
Name:FLUKER, KAMELLAH JAUMIN (MSSW)
Entity Type:Individual
Prefix:MS
First Name:KAMELLAH
Middle Name:JAUMIN
Last Name:FLUKER
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:MS
Other - First Name:KAMELAH
Other - Middle Name:JAUMIN
Other - Last Name:FLUKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSSW
Mailing Address - Street 1:5646 AMALIE DR
Mailing Address - Street 2:A9
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-5991
Mailing Address - Country:US
Mailing Address - Phone:240-490-0263
Mailing Address - Fax:
Practice Address - Street 1:230 VENTURE CIR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37228-1604
Practice Address - Country:US
Practice Address - Phone:615-460-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker