NPIMap

Individual provider Active NPI

Susan A Roberts, LCSW

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1215965744
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW0000000581 Issued in TN
Practice address
7424 Middlebrook Pike
Knoxville, TN 37909-3109
Phone
(865) 690-3411
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSW0000000581 TN Primary

Addresses

Primary practice location

7424 Middlebrook Pike
Knoxville, TN 37909-3109

Mailing address

280 Fort Sanders West Blvd
Building 4 Suite 205
Knoxville, TN 37922-3351
Phone (865) 690-2395

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

LicenseStateTypeSpecialty
LSW0000000581TNMDClinical Social Worker
0000000581TNMDAthletic Trainer
581TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc. Past Accepting new patients
Prisma Health - Blount Memorial Hospital Inc. Past Accepting new patients
Healthy Mind Counseling Services, Inc Clinical PastSince Jul 28, 2012 Accepting new patients
East Tennessee Women'S Care, PC Past Accepting new patients
Wayne E Tasker Clinical Past Accepting new patients
Wayne E. Tasker and Associates, Inc. Clinical Past Accepting new patients
Mercy Physician Services, LLC Past Accepting new patients
Parkwest Medical Center Past Accepting new patients
Parkwest Medical Center Past Accepting new patients
Parkwest Medical Center Past Accepting new patients
Health Ventures, Inc Past Accepting new patients

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215965744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 FORT SANDERS WEST BLVD",
            "address_2": "BUILDING 4 SUITE 205",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223351",
            "telephone_number": "865-690-2395",
            "fax_number": "865-690-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 MIDDLEBROOK PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093109",
            "telephone_number": "865-690-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SUSAN",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000000581",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.