Emotional and Behavioral Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EMOTIONAL AND BEHAVIORAL THERAPY

Practice address

915 Eagle View Dr
Kodak, TN 37764-2418

Phone

(865) 280-2123

Fax

(561) 634-2874

NPI assigned

May 8, 2021

Last updated

May 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Claudia Hirsemann, LCSWNPI 1356610919

Title

Owner/Operator

Phone

(865) 280-2123

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL, TN2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Claudia Renee Hirsemann, LCSW

  • Clinical Social Worker
  • Kodak, TN
  • NPI 1356610919

  FL

  Medicare reassignment NPD Authorized official
• Thomas Fitzgerald

  • Peer Specialist
  • Kodak, TN
  • NPI 1194571133
  NPD
• Elizabeth Anne Caparros, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
  • NPI 1831223601
  NPD (past)

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

{
    "created_epoch": "1620432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620432000000",
    "number": "1174107965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 EAGLE VIEW DR",
            "city": "KODAK",
            "state": "TN",
            "postal_code": "377642418",
            "telephone_number": "865-280-2123",
            "fax_number": "561-634-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 EAGLE VIEW DR",
            "city": "KODAK",
            "state": "TN",
            "postal_code": "377642418",
            "telephone_number": "865-280-2123",
            "fax_number": "561-634-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMOTIONAL AND BEHAVIORAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-08",
        "last_updated": "2021-05-08",
        "certification_date": "2021-05-08",
        "status": "A",
        "authorized_official_last_name": "HIRSEMANN",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "865-280-2123",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CLAUDIA.HIREMANN@OUTLOOK.COM",
            "affiliation": "N",
            "address_1": "915 Eagle View Dr",
            "city": "Kodak",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377642418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Benjamin Michael Blanton, FNP-BC
• Gabrielle Alyssa Broadbent, PT, DPT
• Kaycee Nicole Dixon, FNP-C
• Whitney Drees, PHARMD
• Torry Elizabeth Earley, CRNP
• Eugene Stinson DDS (Kodak Dental Care, PLLC)
• Fast Pace Medical Clinic PLLC
• Fast Pace Medical Clinic PLLC
• Fellowship Assoc. of Resource Ministry
• First Step Counseling LLC

• Clinical Social Worker in Kodak, TN
• Providers in Kodak, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.