Healthcare Provider Details

I. General information

NPI: 1801150925
Provider Name (Legal Business Name): SABRINA IRENE CONKLIN DSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2012
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9133 BRIGHT LN
POWELL TN
37849-2504
US

IV. Provider business mailing address

1111 N NORTHSHORE DR STE S490
KNOXVILLE TN
37919-2808
US

V. Phone/Fax

Practice location:
  • Phone: 850-776-6297
  • Fax:
Mailing address:
  • Phone: 850-776-6297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: