Provider Demographics
NPI:1730129362
Name:HEARN, CHARLES W JR (LCSW)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:W
Last Name:HEARN
Suffix:JR
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:PO BOX 1962
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-1962
Mailing Address - Country:US
Mailing Address - Phone:615-451-4455
Mailing Address - Fax:615-230-8585
Practice Address - Street 1:4525 HARDING RD
Practice Address - Street 2:SUITE 229
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2119
Practice Address - Country:US
Practice Address - Phone:615-620-4529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical