Individual ProviderPatricia M HothornSocial WorkerBehavioral Health & Social Service ProvidersPractice Address100 Winners Cir N, Suite 120, Brentwood, TN 37027-5012(615) 661-5039PECOS EnrollmentBased on the most recent information from CMS, provider Patricia M Hothorn 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 ID1598996001Provider TypeIndividualFull NameHothorn, Patricia MCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date7/31/2009Last Updated11/27/2012Contact InformationPractice LocationPractice Address100 Winners Cir N, Suite 120, Brentwood, TN 37027-5012Phone(615) 661-5039Fax(615) 376-9278Mailing LocationMailing Address915 Laurens Way, Brentwood, TN 37027-8740Phone(615) 661-5039Fax(615) 376-9278Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLSW0000004414TennesseeCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLCS 11605CaliforniaCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149-008935IllinoisProvider IdentifiersIDDescriptionIssuerID1514698DescriptionMedicaidIssuerUnlistedTennessee