Healthcare Provider Details

I. General information

NPI: 1144184144
Provider Name (Legal Business Name): ADAMILKA SUAREZ-BLASH LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2025
Last Update Date: 12/13/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3960 BELL RD
HERMITAGE TN
37076-2944
US

IV. Provider business mailing address

3960 BELL RD APT 111
HERMITAGE TN
37076-2947
US

V. Phone/Fax

Practice location:
  • Phone: 615-784-3317
  • Fax:
Mailing address:
  • Phone: 615-784-3317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number14505
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: