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General NPI Number Information
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NPI Number | 1245887215
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Entity Type | Individual
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Provider Name | BRENNAN JOSEPH DOWNEY LCSW
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Gender | Male
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Dates
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Enumeration Date | 08/23/2019
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 538 W 5TH AVE
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City | KNOXVILLE
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State | TN
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Zip | 37917-7109
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Country | US
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Telephone | 865-525-2104
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Fax | 865-525-2212
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Provider Business Mailing Address
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Address Line | 1923 SULPHUR SPRINGS RD
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City | MORRISTOWN
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State | TN
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Zip | 37813-5654
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Country | US
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Telephone | 423-317-9344
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Fax | 423-714-2355
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 12957
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LSW8496
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License Number State |
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