Healthcare Provider Details

I. General information

NPI: 1881432953
Provider Name (Legal Business Name): DANIELLE SEEMANN MSSW: LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2024
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

152 TIMBER CREEK DR STE 4
CORDOVA TN
38018-4237
US

IV. Provider business mailing address

5501 MAPLE LANDING DR
ARLINGTON TN
38002-7032
US

V. Phone/Fax

Practice location:
  • Phone: 901-498-9126
  • Fax: 901-746-8269
Mailing address:
  • Phone: 901-493-3676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number000195216
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number5658
License Number StateTN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: