IndividualActive
Anna Mamo, LCSW
NPI 1346649183 · Clinical Social Worker · Bristol, TN
Provider details
- NPI number
- 1346649183
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- C005938 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
208 Medical Park Blvd
Bristol, TN 37620-7343
Phone: (423) 979-4050
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 699
Mountain Home, TN 37684-0699
Registry dates
- Enumerated
- 2014-08-18
- Last updated
- 2024-01-18
- Certified
- 2024-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.