Individual provider · Type 1 NPI

Marilyn Derden Phelps, LCSW

Clinical Social Worker · Tullahoma, TN

NPI number 1083770689 Active

Practice location

928 N Jackson St
Tullahoma, TN 37388-2332

Call (931) 454-2242 Map

Fax (931) 454-1217

Mailing address

353 Motlow Rd
Tullahoma, TN 37388-7804

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLSW0000004233 (TN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1083770689

Marilyn Derden Phelps, LCSW's National Provider Identifier is 1083770689, issued on Dec 28, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tullahoma, TN. The record was last updated on Jul 8, 2007.