Provider Demographics
NPI:1912920778
Name:CHAMBERS, INELL B (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:INELL
Middle Name:B
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MUNFORD
Mailing Address - State:TN
Mailing Address - Zip Code:38058-6054
Mailing Address - Country:US
Mailing Address - Phone:901-837-3735
Mailing Address - Fax:901-837-8532
Practice Address - Street 1:56 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MUNFORD
Practice Address - State:TN
Practice Address - Zip Code:38058-6054
Practice Address - Country:US
Practice Address - Phone:901-837-3735
Practice Address - Fax:901-837-8532
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW00000036551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical