Individual provider Active NPI

Mary Elizabeth Piller, CMSW

  • Social Worker
  • Harriman, TN
National Provider Identifier
1063570703
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
221 Devonia St
Harriman, TN 37748-2006
Phone
(865) 882-1164
Fax
(865) 882-8650
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

221 Devonia St
Harriman, TN 37748-2006

Mailing address

221 Devonia St
Harriman, TN 37748-2006
Phone (865) 882-1164

Other names 1

  • Mary Elizabeth Ross Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250812004919 TN Practitioner - Clinical Social Worker 3971001561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coffee County Hospital Group IncGroup PAC ID 1456317783, 87 clinicians

Practice addresses (Care Compare)

482 Interstate Dr
Suite a
Manchester, TN 37355-3109
Phone (931) 728-4718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5420TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Urgent Care PLLC CurrentSince May 30, 2025 Accepting new patients
Ultacare Medical PLLC CurrentSince Sep 20, 2025 Accepting new patients
Mental Health Centers & Clinics of Tennessee Past Accepting new patients
Ridgeview Psychiatric Hospital and Center, Inc. PastSince Mar 13, 2018 Accepting new patients

Locations

1225 E Weisgarber Rd
Ste 190
Knoxville, TN 37909
Phone (423) 259-5002

606 N Broad St
New Tazewell, TN 37825
Phone (423) 626-0466

5261 Carrollton Pike
Ste A
Woodlawn, VA 24381

5261 Carrollton Pike
Ste C
Woodlawn, VA 24381
Phone (276) 238-0911

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1063570703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 DEVONIA ST",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377482006",
            "telephone_number": "865-882-1164",
            "fax_number": "865-882-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 DEVONIA ST",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377482006",
            "telephone_number": "865-882-1164",
            "fax_number": "865-882-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLER",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "CMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "ROSS",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harriman, TN

Sources for this page

Verify at the official NPI Registry.