Individual
MS. LISA LYNN FRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1732 OLD GALLATIN RD, PORTLAND, TN 37148-5903
(352) 446-2011
Mailing address
1732 OLD GALLATIN RD, PORTLAND, TN 37148-5903
(352) 446-2011
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 10470
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000509
TENNCARE-BEH HEALTH PROV
TN
01
—
022688
VMC - BEHAVIORAL HEALTH P
TN
01
—
11442656
CAQH
FL
01
—
11442656
CAQH-BEHAVIOR HEALTH PROV
TN
01
—
12885505
MULTIPLAN
FL
01
—
166375
MHNETWORK
FL
01
—
2088872
CIGNA
FL
01
—
264470000
MAGELLAN
TN
01
—
273250802
MAGELLAN
FL
01
—
3927870
FEI-BEHAVIORAL HEALTH PRO
TN
01
—
4208400
BCBST
TN
01
—
5389124
AETNA-BEHAVIORAL HEALTH P
TN
01
—
658507
VALUE OPTIONS
FL
01
—
832983633
UHC/UBH
FL
01
—
A7820954
AETNA
FL
01
—
TN01R5620547289R5
JOHNDEERE-BEHAVIOR HEALTH
TN
Enumeration date
05/11/2006
Last updated
05/13/2026
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