Provider Demographics
NPI:1710336730
Name:POSTLEWAITE, ROSLYN R (LCSW)
Entity Type:Individual
Prefix:
First Name:ROSLYN
Middle Name:R
Last Name:POSTLEWAITE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ROSLYN
Other - Middle Name:
Other - Last Name:BREWER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2969 ESTES ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38115-2811
Mailing Address - Country:US
Mailing Address - Phone:901-921-7349
Mailing Address - Fax:
Practice Address - Street 1:6373 N QUAIL HOLLOW RD STE 202
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-1405
Practice Address - Country:US
Practice Address - Phone:901-441-8322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-09
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN75251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical