Active NPI
Bethany Townsend, LCSW
- Clinical Social Worker
- Knoxville, TN
National Provider Identifier
1205091816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6202
- Practice address
- 1009 E Red Bud Rd
Knoxville, TN 37920-8807 - Phone
- (865) 269-2570
- Fax
- (865) 269-2558
- NPI assigned
- Jul 23, 2008
- Last updated
- Sep 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 6202 | TN | Primary |
Addresses
Primary practice location
1009 E Red Bud Rd
Knoxville, TN 37920-8807
Mailing address
PO Box 9385
Knoxville, TN 37940-0385
Phone (865) 269-2570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q059298 | Medicaid | TN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150729009948 | TN | Practitioner - Clinical Social Worker | 3173837507 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6202 | TN | MD | Hand Occupational Therapist |
Organizations & group practices 1
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": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1205091816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9385",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379400385",
"telephone_number": "865-269-2570",
"fax_number": "865-269-2558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 E RED BUD RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379208807",
"telephone_number": "865-269-2570",
"fax_number": "865-269-2558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOWNSEND",
"first_name": "BETHANY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-23",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "6202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q059298",
"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 Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.