Provider Demographics
NPI:1295706232
Name:NEESE, DAVID S (LCSW)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:S
Last Name:NEESE
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 1:6829 COLLINSWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-3953
Mailing Address - Country:US
Mailing Address - Phone:615-963-4661
Mailing Address - Fax:
Practice Address - Street 1:6829 COLLINSWOOD DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-3953
Practice Address - Country:US
Practice Address - Phone:615-963-4661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-28
Last Update Date:2018-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3922738Medicaid
TN3922730Medicare PIN