Healthcare Provider Details

I. General information

NPI: 1205985660
Provider Name (Legal Business Name): JAMES DANIEL NAFF LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 05/15/2024
Certification Date: 05/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 BLAIR PARK RD STE 104 PMB 195
WILLISTON VT
05495
US

IV. Provider business mailing address

201 23RD AVE NORTH
NASHVILLE TN
37203
US

V. Phone/Fax

Practice location:
  • Phone: 615-638-8495
  • Fax: 615-298-3011
Mailing address:
  • Phone: 615-327-0833
  • Fax: 615-321-4157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLSW3192
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: