Provider Demographics
NPI:1407685027
Name:SANTANA, MIGUELINA (DHSC, LCSW)
Entity type:Individual
Prefix:DR
First Name:MIGUELINA
Middle Name:
Last Name:SANTANA
Suffix:
Gender:F
Credentials:DHSC, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2414 WOODTHRUSH DR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-1336
Mailing Address - Country:US
Mailing Address - Phone:423-284-4888
Mailing Address - Fax:
Practice Address - Street 1:2414 WOODTHRUSH DR
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-1336
Practice Address - Country:US
Practice Address - Phone:423-284-4888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW00000073121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical