Provider Demographics
NPI:1689289290
Name:SEAY, JONATHAN DWIGHT III (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:DWIGHT
Last Name:SEAY
Suffix:III
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:357 SUMMERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37663-3008
Mailing Address - Country:US
Mailing Address - Phone:423-963-5808
Mailing Address - Fax:
Practice Address - Street 1:357 SUMMERVILLE RD
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37663-3008
Practice Address - Country:US
Practice Address - Phone:423-398-1508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN89851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical