Provider Demographics
NPI:1003167396
Name:RIDDICK, APRIL SHINORA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:SHINORA
Last Name:RIDDICK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 FATHERLAND ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-3706
Mailing Address - Country:US
Mailing Address - Phone:919-307-7547
Mailing Address - Fax:
Practice Address - Street 1:660 S MOUNT JULIET RD STE 130
Practice Address - Street 2:
Practice Address - City:MT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-6496
Practice Address - Country:US
Practice Address - Phone:615-880-8427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-26
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN95751041C0700X
AK1152511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical