Provider Demographics
NPI:1801938782
Name:WOOLVERTON, CELIA L (LCSW)
Entity type:Individual
Prefix:
First Name:CELIA
Middle Name:L
Last Name:WOOLVERTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CELIA
Other - Middle Name:WOOLVERTON
Other - Last Name:PEAKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:210 25TH AVE N STE 500
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1611
Mailing Address - Country:US
Mailing Address - Phone:615-327-1264
Mailing Address - Fax:
Practice Address - Street 1:210 25TH AVE N STE 500
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1611
Practice Address - Country:US
Practice Address - Phone:615-327-1264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical