Individual provider Active NPI

Amber McMillan, LCSW

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1114088838
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5736 Issued in TN
Practice address
5302 Ball Camp Pike
Knoxville, TN 37921-3234
Phone
(865) 541-6958
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5736 TN Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

5302 Ball Camp Pike
Knoxville, TN 37921-3234

Mailing address

200 Tech Center Dr
Knoxville, TN 37912-2747
Phone (865) 637-9711

Other practice location 1

201 W Springdale Ave
Knoxville, TN 37917-5158
Phone (865) 637-9711

Other practice location 2

6020 Lyons View Pike
Knoxville, TN 37919-6214
Phone (865) 246-1420

Other practice location 3

526 LaMar St
Knoxville, TN 37917-7343
Phone (865) 544-3841

Other identifiers 1

IdentifierTypeStateIssuer
Q007103MedicaidTN

Other names 1

  • Amber Brauckmuller 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
I20130507000434 TN Practitioner - Clinical Social Worker 0244477438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Tennessee, HSC, College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Helen Ross McNabb CenterGroup PAC ID 1658278809, 40 clinicians

Practice addresses (Care Compare)

201 W Springdale Ave
Knoxville, TN 37917-5158
Phone (865) 637-9711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5736TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Helen Ross McNabb Center CurrentSince Mar 11, 2013 Accepting new patients
Helen Ross McNabb Center CurrentSince Mar 7, 2021 Accepting new patients

Locations

5302 Ball Camp Pike
Knoxville, TN 37921
Phone (865) 523-4704

201 W Springdale Ave
Knoxville, TN 37917
Phone (865) 329-9173

200 Tech Center Dr
Knoxville, TN 37912
Phone (865) 329-9124

3105 Essary Dr
Knoxville, TN 37918
Phone (865) 687-8990

3712 Middlebrook Pike
Knoxville, TN 37921
Phone (865) 444-2333

6020 Lyons View Pike
Knoxville, TN 37919
Phone (865) 246-1420

1475 Simpson Rd W
Lenoir City, TN 37771
Phone (865) 441-8078

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1114088838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TECH CENTER DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379122747",
            "telephone_number": "865-637-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 BALL CAMP PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379213234",
            "telephone_number": "865-541-6958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 W Springdale Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379175158",
            "country_code": "US",
            "telephone_number": "865-637-9711",
            "fax_number": "865-637-4362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6020 Lyons View Pike",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379196214",
            "country_code": "US",
            "telephone_number": "865-246-1420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "526 LaMar St",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379177343",
            "country_code": "US",
            "telephone_number": "865-544-3841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "AMBER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5736",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q007103",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "BRAUCKMULLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.