Organization Active NPI

Weatherstone Collaborative LLC

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1023665247
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WEATHERSTONE COLLABORATIVE LLC
Practice address
323 Ebenezer Rd
Knoxville, TN 37923-5310
Phone
(865) 272-9709
NPI assigned
Aug 22, 2019
Last updated
Aug 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephanie Swain Weatherstone, LCSWNPI 1821272444
Title
Owner
Phone
(865) 272-9709

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

323 Ebenezer Rd
Knoxville, TN 37923-5310

Mailing address

323 Ebenezer Rd
Knoxville, TN 37923-5310
Phone (865) 272-9709

Other identifiers 1

IdentifierTypeStateIssuer
1821272444OtherNPI

National Provider Directory

National Provider Directory

Locations

323 Ebenezer Rd
Knoxville, TN 37923
Phone (865) 272-9709

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1023665247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 EBENEZER RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235310",
            "telephone_number": "865-272-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 EBENEZER RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235310",
            "telephone_number": "865-272-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEATHERSTONE COLLABORATIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "WEATHERSTONE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "SWAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-272-9709",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821272444",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.