Provider Demographics
NPI:1538167739
Name:BARRETT-HILTON, MICHELLE DIANE (LCSW)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:DIANE
Last Name:BARRETT-HILTON
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:PO BOX 5825
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37928-0825
Mailing Address - Country:US
Mailing Address - Phone:865-719-2314
Mailing Address - Fax:865-512-1185
Practice Address - Street 1:7557 DANNAHER WAY STE 130
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:TN
Practice Address - Zip Code:37849-3558
Practice Address - Country:US
Practice Address - Phone:865-719-2314
Practice Address - Fax:865-512-1185
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-12
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW43721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3926633Medicaid
TN1516856Medicaid
TN3926633Medicaid