Spencer Logan Diehl, LCSW, LICSW
Social Worker in Nashville, TN. Individual provider (NPI-1).
NPI number1164062220
StatusActive
Last updated in NPPESNov 16, 2022
Details
- NPI
- 1164062220
- Entity type
- Individual (NPI-1)
- Name
- Spencer Logan Diehl
- Credential
- LCSW, LICSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 7, 2020
- Certification date
- Nov 16, 2022
- Last updated
- Nov 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 13580 | TN | Yes |
| 1041C0700X | Social Worker, Clinical | 8382 | TN | |
| 1041C0700X | Social Worker, Clinical | 125242 | MA | |
| 1041C0700X | Social Worker, Clinical | 224984 | MA |
Practice location
3601 The Vanderbilt ClinicNashville, TN 37232-1114
Phone 615-322-5000
Mailing address
3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691
Other practice locations
200 Springs Rd
Bedford, MA 01730-1114
Bedford, MA 01730-1114
Phone 781-687-3108
1500 21st Avenue Suite 2600
Nashville, TN 37232-1114
Nashville, TN 37232-1114
Phone 615-936-1924
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