IndividualActive
Jonathan Mccollum, LCSW
NPI 1003002734 · Clinical Social Worker · Maryville, TN
Provider details
- NPI number
- 1003002734
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Practice location
210 Simmons St
Maryville, TN 37801-4750
Phone: (865) 970-9800
Fax: (865) 374-7129
Approximate (ZIP-level) locationGet directions
Mailing address
1451 Dowell Springs Blvd
Knoxville, TN 37909-2441
Registry dates
- Enumerated
- 2007-09-17
- Last updated
- 2014-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.