Provider Demographics
NPI:1720186778
Name:SHOUN, LINDA M (LCSW)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:M
Last Name:SHOUN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 29TH AVE N
Mailing Address - Street 2:SUITE 302
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1401
Mailing Address - Country:US
Mailing Address - Phone:615-321-0402
Mailing Address - Fax:615-356-4772
Practice Address - Street 1:110 29TH AVE N
Practice Address - Street 2:SUITE 302
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1401
Practice Address - Country:US
Practice Address - Phone:615-321-0402
Practice Address - Fax:615-356-4772
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW00000000931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0049863OtherBLUE CROSS BLUE SHIELD
TN29978500OtherMAGELLAN
TN3078191OtherAETNA HEALTH MANAGEMENT
TN29978500OtherMAGELLAN