Individual provider · Type 1 NPI

Kawana Collake, LCSW

Clinical Social Worker · Johnson City, TN

NPI number 1114621828 Active

Practice location

403 Princeton Rd Ste 2
Johnson City, TN 37601-2040

Fax (423) 714-3116

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	8400 (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 1114621828

Kawana Collake, LCSW's National Provider Identifier is 1114621828, issued on Mar 28, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Johnson City, TN. The record was last updated on Oct 5, 2026.