Provider Demographics
NPI:1538053434
Name:DEESE, CARRIE GRACE (LCSW)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:GRACE
Last Name:DEESE
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 1:2600 HILLSBORO PIKE APT 255
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-5629
Mailing Address - Country:US
Mailing Address - Phone:615-772-3717
Mailing Address - Fax:
Practice Address - Street 1:2600 HILLSBORO PIKE APT 255
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-5629
Practice Address - Country:US
Practice Address - Phone:615-772-3717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN85961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical