Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ethan Kyle Waltz, LMSW, LMT

Individual provider Social Worker · NPI 1730928086

Ethan Kyle Waltz, LMSW, LMT is a Social Worker in Smyrna, Tennessee. Practices as a sole proprietor and works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2024
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

282 Village Lake Cir
Smyrna, TN 37167-4317
Phone: (615) 613-1562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10519 Cedar Grove Rd, Smyrna, TN 37167-6139 — (615) 220-1739

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 014172 (TN)

Record details

NPI number1730928086
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW , LMT
Sole proprietorYes
NPI enumeratedMay 24, 2024
Last updated in NPPESMay 24, 2024
Certification dateMay 24, 2024

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