Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marvyn L Hegmon, LCSW

Individual provider Clinical Social Worker · NPI 1790720480

Marvyn L Hegmon, LCSW is a Clinical Social Worker in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

238 Summar Dr
Jackson, TN 38301-3906
Phone: (731) 935-8200
Fax: (731) 935-8327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1022 (TN)
Social Worker Taxonomy 104100000X · Licence 1022 (TN)

Record details

NPI number1790720480
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 18, 2006
Last updated in NPPESMay 10, 2012

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