Provider Demographics
NPI:1710291828
Name:SEARCY, JONATHAN E (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:E
Last Name:SEARCY
Suffix:
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 1:170 FRANK LATHAM RD
Mailing Address - Street 2:
Mailing Address - City:PINSON
Mailing Address - State:TN
Mailing Address - Zip Code:38366-9632
Mailing Address - Country:US
Mailing Address - Phone:731-989-7335
Mailing Address - Fax:731-989-7288
Practice Address - Street 1:170 FRANK LATHAM RD
Practice Address - Street 2:
Practice Address - City:PINSON
Practice Address - State:TN
Practice Address - Zip Code:38366-9632
Practice Address - Country:US
Practice Address - Phone:731-989-7335
Practice Address - Fax:731-989-7288
Is Sole Proprietor?:No
Enumeration Date:2010-07-30
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW00000049971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical