Provider Demographics
NPI:1356164701
Name:HORNIG, GERMAINE (LCSW ,RN)
Entity type:Individual
Prefix:MS
First Name:GERMAINE
Middle Name:
Last Name:HORNIG
Suffix:
Gender:F
Credentials:LCSW ,RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2918 PORCH SWING RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37938-4084
Mailing Address - Country:US
Mailing Address - Phone:865-207-0385
Mailing Address - Fax:
Practice Address - Street 1:2918 PORCH SWING RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37938-4084
Practice Address - Country:US
Practice Address - Phone:865-207-0385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW00000045801041C0700X
TN0000171548163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical