Janet McCracken, LCSW
Individual provider Active NPI Clinical Social Worker · Jacksboro, TN
NPI 1104954650 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1104954650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 4681020 (TN)
- Practice address
- 507 Main St
Jacksboro, TN 37757-2967 - Phone
- (423) 562-1156
- Fax
- (423) 566-5106
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4681020 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health of East Tennessee, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4681020 | TN | Yes |
Addresses
Primary practice location
507 Main St
Jacksboro, TN 37757-2967
Mailing address
2315 Jacksboro Pike
La Follette, TN 37766-2906
Phone (423) 562-4190
Other providers in Jacksboro, TN
- Lindsey Lundquist
- Michele O Lynch
- Mark a.Collins
- George Glen Massengill
- John McCauley
- Cara Jean McCullah
- Sandra McGill
- Olivia McKamey
- Med-Trans Corporation
- Mercy Women'S Care
All providers in Jacksboro, TN · Clinical Social Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.