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NPI Code Detail

MEDICARE: MRS. GAYLE ANN LODATO LCSW

MEDICARE:  MRS. GAYLE ANN LODATO  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
11041C0700XClinical Social WorkerLSW0000004288TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396774410
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GAYLE ANN LODATO LCSW
Provider Business Mailing Address
First Line : 200 TECH CENTER DR
Second Line :
City : KNOXVILLE
State : TN
Zip : 37912-2747
Country : US
Telephone Number : 865-637-9711
Fax Number :
Provider Business Practice Location Address
First Line : 6055 SHALLOWFORD RD
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-1688
Country : US
Telephone Number : 423-266-6751
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2006
Last Update Date : 03/05/2024

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Directions to “ MRS. GAYLE ANN LODATO LCSW” Practice Location

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