Patterson, Jean Simms

Patterson, Jean Simms is an individual health care provider with primary practice located at 7714 Conner Rd , Powell TN 37849-3559. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Patterson, Jean Simms can be contacted via phone (865) 947-6220.

Contact Information

Primary practice address
7714 Conner Rd Powell TN 37849-3559
Fax: (865) 512-1069
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LSW3589 Tennessee

Profile Details

NPI number 1407854615
LBN Legal business name Patterson, Jean Simms
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407854615 NPPES
Tennessee MEDICAID 3924763

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