Amanda M Gerth-Jones, LCSW
Individual provider Active NPI Social Worker · Rocky Top, TN
NPI 1205993144 · NPPES record last updated Mar 9, 2023
Key facts
- NPI
- 1205993144
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 5193 (TN)
- Practice address
- 229 Lovely Bluff Rd
Rocky Top, TN 37769 - Phone
- (423) 312-2444
- Fax
- (865) 481-6171
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
229 Loveley Bluff Rd
Rocky Top, TN 37769-5820
Phone (423) 312-2444
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230417002843 | TN | Practitioner - Clinical Social Worker | 4284009655 | Practice locations: Rocky Top, TN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6943 | TN | |
| Social Worker | 104100000X | 5193 | TN | Yes |
Addresses
Primary practice location
229 Lovely Bluff Rd
Rocky Top, TN 37769
Mailing address
229 Lovely Bluff Rd
Rocky Top, TN 37769
Phone (423) 312-2444
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q080558 | Medicaid | TN |
Other names
- Amanda M Gerth
Other providers in Rocky Top, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.