Provider Demographics
NPI:1740461110
Name:CRAWFORD, DAPHNE DIANE (LCSW)
Entity type:Individual
Prefix:
First Name:DAPHNE
Middle Name:DIANE
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DAPHNE
Other - Middle Name:DIANE
Other - Last Name:UPCHURCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:301 HIGGINS AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-3006
Mailing Address - Country:US
Mailing Address - Phone:865-888-6451
Mailing Address - Fax:865-544-8209
Practice Address - Street 1:301 HIGGINS AVE STE 108
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-3006
Practice Address - Country:US
Practice Address - Phone:865-888-6451
Practice Address - Fax:865-544-8209
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-14
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN000000048421041C0700X
TN48421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical