Individual provider Active NPI

Bonnie Barclay, LCSW

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1083845408
Registry record updated Jul 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW3586 Issued in TN
Practice address
201 N Weisgarber Rd
Knoxville, TN 37919-4013
Phone
(865) 584-8501
NPI assigned
Aug 3, 2009
Last updated
Jul 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSW3586 TN Primary

Addresses

Primary practice location

201 N Weisgarber Rd
Knoxville, TN 37919-4013

Mailing address

201 N Weisgarber Rd
Knoxville, TN 37919-4013
Phone (865) 584-8501

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
I20090924000209 TN Practitioner - Clinical Social Worker 2769538206 Reassigns benefits to 1 organization
Practice locations: Knoxville, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

305 Ebenezer Rd
Knoxville, TN 37923-5310
Phone (865) 325-9604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW3586TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Creekside Counseling & Wellness Clinical CurrentSince Nov 1, 2021 Accepting new patients
Healthy Mind Counseling Services, Inc Clinical PastSince Jul 28, 2012 Accepting new patients
Knoxville Psychiatric Group Clinical Past Accepting new patients

Locations

305 Ebenezer Rd
Knoxville, TN 37923
Phone (865) 325-9604

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309824000000",
    "number": "1083845408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N WEISGARBER RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194013",
            "telephone_number": "865-584-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N WEISGARBER RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194013",
            "telephone_number": "865-584-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCLAY",
        "first_name": "BONNIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2011-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW3586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.