Healthcare Provider Details
I. General information
NPI: 1538170857
Provider Name (Legal Business Name): KAREN RUTH NASH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1900 CHURCH ST SUITE 201
NASHVILLE TN
37203-2234
US
IV. Provider business mailing address
1718 PATTERSON ST
NASHVILLE TN
37203-2926
US
V. Phone/Fax
- Phone: 615-963-4732
- Fax: 615-963-4733
- Phone: 615-327-1085
- Fax: 615-963-4733
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 765 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: