Individual ProviderDonna B SouthworthSocial WorkerBehavioral Health & Social Service ProvidersPractice Address7003 Chadwick Dr, Ste 153, Brentwood, TN 37027(615) 370-8473PECOS EnrollmentBased on the most recent information from CMS, provider Donna B Southworth does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:54 AM.Profile DetailsProvider ID1235207119Provider TypeIndividualFull NameSouthworth, Donna BTitleMs.CredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date12/1/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address7003 Chadwick Dr, Ste 153, Brentwood, TN 37027Phone(615) 370-8473Fax(615) 370-8433Mailing LocationMailing AddressPO Box 2371, Brentwood, TN 37024-2371Phone(615) 370-8473Fax(615) 370-8433Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense000853TennesseeProvider IdentifiersIDDescriptionIssuerID0122967DescriptionOtherIssuerBCBS