Lindsey Holt
Individual provider Active NPI Clinical Social Worker · Chuckey, TN
NPI 1366296469 · NPPES record last updated Apr 15, 2024
Key facts
- NPI
- 1366296469
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 9011 (TN)
- Practice address
- 121 E Ridges Dr
Chuckey, TN 37641-7240 - Phone
- (423) 335-3284
- NPI assigned
- Apr 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9011 | TN | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9011 | TN | Yes |
Addresses
Primary practice location
121 E Ridges Dr
Chuckey, TN 37641-7240
Mailing address
121 E Ridges Dr
Chuckey, TN 37641-7240
Other providers in Chuckey, TN
- Laura Anderson
- Michel Clement Bernardin
- Natasha Blakley
- Quinton Deon Chatman
- Stephanie Brooke Hensley
- Infinite Clarity, LLC
- Jonathan George Jackson
- KDM Inc
- Elizabeth Ann Kenney
- Teresa M Kimery
All providers in Chuckey, TN · Clinical Social Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.