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General NPI Number Information
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NPI Number | 1306691035
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Entity Type | Individual
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Provider Name | LINDSAY GABRIELLE LIGHTFOOT LCSW, LMSW
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Gender | Female
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Dates
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Enumeration Date | 04/17/2024
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 1608 WILLIAMS DR STE 301
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City | MURFREESBORO
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State | TN
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Zip | 37129-3195
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Country | US
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Telephone | 629-543-9628
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Fax |
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Provider Business Mailing Address
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Address Line | 4407 QUAIL HOLLOW RD
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City | ORANGE PARK
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State | FL
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Zip | 32065-2669
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Country | US
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Telephone | 629-543-9628
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LSW0000014913
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW25780
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License Number State | FL
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