| Deborah D Vines, LCSW | |
|
2320 W End Ave, Nashville, TN 37203-1784 | |
| (727) 313-1426 | |
| (615) 983-6975 |
| Full Name | Deborah D Vines |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2320 W End Ave, Nashville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134273360 | NPI | - | NPPES |
| 265374000 | Other | TN | MAGELLAN PROVIDER NUMBER |
| 457801 | Other | TN | VALUE OPTIONS PROVIDER # |
| 7239269 | Other | TN | AETNA PROVIDER NUMBER |
| 2072152 | Other | TN | CIGNA PROVIDER NUMBER |
| 4080157 | Other | TN | BCBS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LSW0000004074 (Tennessee) | Primary |
| Entity Name | Family Care Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124756085 PECOS PAC ID: 5991064420 Enrollment ID: O20230501001893 |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah D Vines, LCSW 1900 Church St Ste 300, Nashville, TN 37203-2285 Ph: (727) 313-1426 | Deborah D Vines, LCSW 2320 W End Ave, Nashville, TN 37203-1784 Ph: (727) 313-1426 |
Mr. Lyndell B Stich, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1711 19th Ave S, Nashville, TN 37212 Phone: 615-292-6187 Fax: 615-383-4473 | |
Joseph John Kochelek, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 275 Cumberland Bnd, Nashville, TN 37228 Phone: 615-726-3340 Fax: 615-743-1679 | |
Mrs. Susan Langenus Seabourn, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2400 White Ave, Nashville, TN 37204 Phone: 615-460-4200 Fax: 615-460-4202 | |
Juan Toribio Trevino, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 220 Athens Way Ste 102, Nashville, TN 37228 Phone: 615-320-1155 Fax: 615-320-1177 | |
Ms. Allison Gibson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 402 22nd Avenue North, Nashville, TN 37203 Phone: 615-251-8805 | |
Mackenzie Julianne Alcorn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1900 Church St, Nashville, TN 37203 Phone: 615-862-7887 | |
Jeremy Carney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 Lea Ave Ste 760, Nashville, TN 37210 Phone: 201-526-8484 |