Provider Demographics
NPI:1821224288
Name:BALDWIN MALONE, LAKESHA (LCSW)
Entity Type:Individual
Prefix:
First Name:LAKESHA
Middle Name:
Last Name:BALDWIN MALONE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5213 LINBAR DR
Mailing Address - Street 2:SUITE 410
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-1029
Mailing Address - Country:US
Mailing Address - Phone:615-445-8711
Mailing Address - Fax:615-445-8715
Practice Address - Street 1:5213 LINBAR DR
Practice Address - Street 2:SUITE 410
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-1029
Practice Address - Country:US
Practice Address - Phone:615-445-8711
Practice Address - Fax:615-445-8715
Is Sole Proprietor?:No
Enumeration Date:2009-05-29
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW5014101Y00000X, 101YA0400X, 101YM0800X, 104100000X, 1041C0700X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist