Provider Demographics
NPI:1316148976
Name:DODDS, CAROLYN COLEY (LCSW)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:COLEY
Last Name:DODDS
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 1:3735 N. MT. JULIET RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MT. JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-3056
Mailing Address - Country:US
Mailing Address - Phone:615-934-1618
Mailing Address - Fax:
Practice Address - Street 1:3735 N MT JULIET RD
Practice Address - Street 2:SUITE 102
Practice Address - City:MT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-3060
Practice Address - Country:US
Practice Address - Phone:615-758-3783
Practice Address - Fax:615-758-4128
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW00000005611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical