Cynthia Luaune Poole, LMSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6834 Issued in TN

Practice address

3672 Gailyn Dr
Bartlett, TN 38135-2348

Phone

(901) 607-7284

NPI assigned

Jun 4, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Piece by Peace Therapeutic Counseling Services, LLC

  • Clinical Social Worker
  • Memphis, TN
  • NPI 1558021584
  NPD Authorized official
• Renew Ahava Therapeutic Services LLC

  • Clinical Social Worker
  • Memphis, TN
  • NPI 1669123998
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1164802195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3672 GAILYN DR",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381352348",
            "telephone_number": "901-607-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3672 GAILYN DR",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381352348",
            "telephone_number": "901-607-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "CYNTHIA",
        "middle_name": "LUAUNE",
        "name_prefix": "Ms.",
        "credential": "LMSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "10262",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ursula Pitts-Baskin, RN, BSN
• Alyssa Pizano
• Christopher Mark Pokabla, M.D.
• Polk Orthodontics, LLC
• Heather H Polmonari, NP
• Emily L Poppelreiter
• Ashley Porter, MSED
• Tiffany Porter, PTA
• Jason Colby Poston, DC
• Premier Health Care, LLC

• Clinical Social Worker in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.