Healthcare Provider Details

I. General information

NPI: 1679123947
Provider Name (Legal Business Name): LINDSAY BLANKENSHIP PLEMONS LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2019
Last Update Date: 08/23/2024
Certification Date: 08/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2336 CONGRESS PKWY S
ATHENS TN
37303-2820
US

IV. Provider business mailing address

200 TECH CENTER DR
KNOXVILLE TN
37912-2747
US

V. Phone/Fax

Practice location:
  • Phone: 865-816-8435
  • Fax:
Mailing address:
  • Phone: 800-255-9711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number15368
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: