Individual provider Active NPI

Meghan Rasnake, LCSW

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1093167249
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5868 Issued in TN
Practice address
252 Harry Lane Blvd Ste 202
Knoxville, TN 37923-4912
Phone
(865) 338-5384
Fax
(865) 338-5383
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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 5868 TN Primary

Addresses

Primary practice location

252 Harry Lane Blvd Ste 202
Knoxville, TN 37923-4912

Mailing address

1826 Montvale Station Rd
Maryville, TN 37803-5869
Phone (865) 382-2943

Other identifiers 1

IdentifierTypeStateIssuer
Q022769MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5868TNMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1093167249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 MONTVALE STATION RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378035869",
            "telephone_number": "865-382-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 HARRY LANE BLVD STE 202",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234912",
            "telephone_number": "865-338-5384",
            "fax_number": "865-338-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASNAKE",
        "first_name": "MEGHAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q022769",
            "state": "TN"
        }
    ],
    "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 21, 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.