Provider Demographics
NPI:1497467567
Name:PIGNATARO, LESLIE ANDERSON (LMSW)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:ANDERSON
Last Name:PIGNATARO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10700 VIRGINIA PINE WAY STE 202
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37932-1801
Mailing Address - Country:US
Mailing Address - Phone:865-407-0071
Mailing Address - Fax:865-217-1109
Practice Address - Street 1:10700 VIRGINIA PINE WAY STE 202
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37932-1801
Practice Address - Country:US
Practice Address - Phone:865-407-0071
Practice Address - Fax:865-217-1109
Is Sole Proprietor?:No
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN110741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical