Linsey Noel Vanover, BA

Individual provider Active NPI Peer Specialist · Estill Springs, TN

NPI 1447848858 · NPPES record last updated Jan 2, 2021

Key facts

NPI
1447848858
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
License
1121 (TN)
Practice address
416 S Main St
Estill Springs, TN 37330-4037
Phone
(888) 291-4357
NPI assigned
Jan 2, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
1121TNMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 1121 TN Yes

Addresses

Primary practice location

416 S Main St
Estill Springs, TN 37330-4037

Mailing address

416 S Main St
Estill Springs, TN 37330-4037
Phone (888) 291-4357

Other practice location 1

721 Highway 46 S
Dickson, TN 37055-2565
Phone (888) 291-4357

Other identifiers

IdentifierTypeStateIssuer
UNKNOWNMedicaidTN
UNKNOWNOtherTNINSURANCE

Other providers in Estill Springs, TN

All providers in Estill Springs, TN · Peer Specialist in Tennessee

Sources for this page

Verify at the official NPI Registry.