Active NPI
Anne Landry, LCSW
- Social Worker
- Knoxville, TN
National Provider Identifier
1235479411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LSW0000009577
- Practice address
- 305 Ebenezer Rd
Knoxville, TN 37923-5310 - Phone
- (865) 773-7200
- NPI assigned
- Feb 25, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LSW0000009577 | TN | Primary |
Addresses
Primary practice location
305 Ebenezer Rd
Knoxville, TN 37923-5310
Mailing address
305 Ebenezer Rd
Knoxville, TN 37923-5310
Phone (865) 773-7200
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 |
|---|---|---|---|---|
| I20200710002937 | TN | Practitioner - Clinical Social Worker | 0446673362 | Practice locations: Knoxville, TN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW0000009577 | TN | MD | Social Worker |
| 6657 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1235479411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 EBENEZER RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379235310",
"telephone_number": "865-773-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 EBENEZER RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379235310",
"telephone_number": "865-773-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRY",
"first_name": "ANNE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-25",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "LSW0000009577",
"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 Oct 30, 2018; 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.