Eddlemon, Laura Catharine
Eddlemon, Laura Catharine is an individual health care provider with primary practice located at 5410 Homberg Dr Suite 14, Knoxville TN 37919-5031. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Eddlemon, Laura Catharine can be contacted via phone (865) 588-3137.Contact Information
Primary practice address
5410 Homberg Dr Suite 14
Knoxville TN 37919-5031
Phone: (865) 588-3137
Fax: (865) 588-3174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LSW4393 | Tennessee |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW5270 | Tennessee |
Profile Details
| NPI number | 1578562757 |
|---|---|
| LBN Legal business name | Eddlemon, Laura Catharine |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578562757 | NPPES |
| Tennessee | MEDICAID | 3927375 |
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