Provider Demographics
NPI:1932777034
Name:CALLAWAY, CARRIE CATHERINE (LCSW)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:CATHERINE
Last Name:CALLAWAY
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 1:300 20TH AVE N FL 9
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5600
Mailing Address - Country:US
Mailing Address - Phone:615-284-1400
Mailing Address - Fax:
Practice Address - Street 1:300 20TH AVE N FL 789
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2131
Practice Address - Country:US
Practice Address - Phone:615-284-1400
Practice Address - Fax:615-284-1420
Is Sole Proprietor?:No
Enumeration Date:2021-06-15
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00000050511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical