Provider Demographics
NPI:1225195696
Name:NAGIM, LYNDA GALE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LYNDA
Middle Name:GALE
Last Name:NAGIM
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1008 WAVERUNNER DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-4109
Mailing Address - Country:US
Mailing Address - Phone:615-481-0088
Mailing Address - Fax:615-419-0158
Practice Address - Street 1:440 PARK AVENUE
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087
Practice Address - Country:US
Practice Address - Phone:615-449-9611
Practice Address - Fax:615-453-7051
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN37171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical