Active NPI
Erica K Burnette, LCSW
- Clinical Social Worker
- Lenoir City, TN
National Provider Identifier
1114045689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4974
- Practice address
- 1475 Simpson Rd W Ste 2
Lenoir City, TN 37771-6686 - Phone
- (865) 635-0242
- Fax
- (865) 635-0244
- NPI assigned
- Mar 26, 2007
- Last updated
- Sep 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4974 | TN | Primary |
Addresses
Primary practice location
1475 Simpson Rd W Ste 2
Lenoir City, TN 37771-6686
Mailing address
201 W Springdale Ave
Knoxville, TN 37917-5158
Phone (865) 637-9711
Other practice location 1
100 Adams Ln
Oak Ridge, TN 37830-4909
Phone (865) 483-7743
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1507993 | Medicaid | TN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4974 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkwest Medical Center | Past | Accepting new patients | |
| Helen Ross McNabb Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Knoxville, TN
- NPI 1659330686
-
dba Peninsula Div Parkwest MC
- General Acute Care Hospital
- Knoxville, TN
- NPI 1396739165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1114045689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W SPRINGDALE AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379175158",
"telephone_number": "865-637-9711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 SIMPSON RD W STE 2",
"city": "LENOIR CITY",
"state": "TN",
"postal_code": "377716686",
"telephone_number": "865-635-0242",
"fax_number": "865-635-0244"
}
],
"practiceLocations": [
{
"address_1": "100 Adams Ln",
"address_purpose": "LOCATION",
"city": "Oak Ridge",
"state": "TN",
"postal_code": "378304909",
"country_code": "US",
"telephone_number": "865-483-7743",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURNETTE",
"first_name": "ERICA",
"middle_name": "K",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "4974",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1507993",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lenoir City, TN
- Buckeye Home Health Center, Inc. (Buckeye Home Medical equipment)
- Anne Camille Buckner, PHYSICIAN ASSISTANT
- Jeffrey David Bull, PSY.D.
- Susan Lynn Burcham
- April Burnett, PMHNP
- Joanna Marie Buxkemper, PHARM.D.
- Mary Lea Byrd, FNP-C, MSN, RN
- Jessica Cagle, BS
- Kelly Ann Caldwell-Chor, MD
- Cameron Company Medical Equipment, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.