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NPI Code Detail

MEDICARE: LINDSEY PEMBERTON LCSW

MEDICARE:   LINDSEY  PEMBERTON  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor9753TN

General Provider Information

NPI Number : 1073468203
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY PEMBERTON LCSW
Provider Business Mailing Address
First Line : 1012 ASLINGER RD
Second Line :
City : SALE CREEK
State : TN
Zip : 37373
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 40 BURTON HILLS BLVD STE 200
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-5902
Country : US
Telephone Number : 646-941-7645
Fax Number : 929-596-7897
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “ LINDSEY PEMBERTON LCSW” Practice Location

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