Provider Demographics
NPI:1154102697
Name:SINGLETON, JUSTIN (MSSW, LSSW)
Entity type:Individual
Prefix:
First Name:JUSTIN
Middle Name:
Last Name:SINGLETON
Suffix:
Gender:M
Credentials:MSSW, LSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:634 KINGSWAY DR
Mailing Address - Street 2:
Mailing Address - City:OLD HICKORY
Mailing Address - State:TN
Mailing Address - Zip Code:37138-2333
Mailing Address - Country:US
Mailing Address - Phone:615-668-2853
Mailing Address - Fax:615-668-2853
Practice Address - Street 1:634 KINGSWAY DR
Practice Address - Street 2:
Practice Address - City:OLD HICKORY
Practice Address - State:TN
Practice Address - Zip Code:37138-2333
Practice Address - Country:US
Practice Address - Phone:615-668-2853
Practice Address - Fax:615-668-2853
Is Sole Proprietor?:No
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker