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KRISTY LEE PEDRERO
NPI 1073954012
Social Worker - Clinical in Maryville, TN

Active since July 06, 2013
2211 E BROADWAY AVE, MARYVILLE, TN 37804(865) 324-2043 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristy Lee Pedrero NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTY LEE PEDRERO (NPI 1073954012) is an individual clinical provider in Maryville, Tennessee, licensed in Tennessee (9920) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1073954012
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTY LEE PEDRERO
Location Address2211 E BROADWAY AVEMaryville, TN 37804-3078
Mailing Address2211 E Broadway AveMaryville, TN 37804-3078 · (865) 324-2043
Phone(865) 324-2043
Sole ProprietorYes
Enumeration DateJuly 6, 2013
Last NPPES UpdateMarch 25, 2026
NPPES CertifiedMarch 25, 2026
✔ NPI 1073954012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TN · 9920
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2211 E BROADWAY AVE, Maryville, TN 37804
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SMOKY MOUNTAIN NATURAL WELLNESS
Acupuncturist
2211 E BROADWAY AVE
MARYVILLE, TN 37804
Blount County (865) 296-2955
B & T HEALTH LLC
Community/Behavioral Health
2211 E BROADWAY AVE
MARYVILLE, TN 37804
Blount County (865) 324-2043
GRACE MCALLISTER WOOLSTON TEMP-LPC-MHSP
Counselor (Professional)
2211 E BROADWAY AVE
MARYVILLE, TN 37804
Blount County (865) 324-2043

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristy Pedrero's NPI number?

The NPI number for Kristy Pedrero is 1073954012. It was assigned to this individual provider in the NPPES registry on July 6, 2013.

Where is Kristy Pedrero located?

Kristy Pedrero practices at 2211 E Broadway Ave, Maryville, TN 37804. The listed phone number is (865) 324-2043.

What is Kristy Pedrero's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kristy Pedrero was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.