Toni Danielle Pickle, LMSW – Clinical Social Worker

Key facts

NPI: 1386960102
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 7637 (TN)
Practice address: 2431 Jones Bend Rd.
Louisville, TN 37777
Phone: (865) 970-1268
Fax: (865) 970-6334
NPI assigned: Apr 19, 2010
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Village Behavioral Health, LLC Emotionally Disturbed Childrens' Residential Treatment Facility · Louisville, TN · NPI 1598998619

NPD (past)

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
7637	TN	MD	Mental Health Counselor

Practice roles

Organization	Specialty	Status	New patients
Village Behavioral Health, LLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	7637	TN	Yes

Addresses

Primary practice location

2431 Jones Bend Rd.
Louisville, TN 37777

Mailing address

2431 Jones Bend Rd.
Louisville, TN 37777
Phone (865) 809-4648

Other identifiers

Identifier	Type	State	Issuer
7637	Other	TN	LMSW

Other providers in Louisville, TN

All providers in Louisville, 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 Jul 29, 2014. 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.

Verify at the official NPI Registry.