Active NPI
Beverly McKee, PH.D., LCSW
- Clinical Social Worker
- Knoxville, TN
National Provider Identifier
1275576209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4181824
- Practice address
- 1111 N Northshore Dr
Suite South 490
Knoxville, TN 37919-4005 - Phone
- (865) 584-0171
- Fax
- (865) 584-0174
- NPI assigned
- Jun 14, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4181824 | TN | Primary |
Addresses
Primary practice location
1111 N Northshore Dr
Suite South 490
Knoxville, TN 37919-4005
Mailing address
1111 N Northshore Dr
Suite South 490
Knoxville, TN 37919-4005
Phone (865) 584-0171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3028850 | Other | TN | BC/BS TN PROVIDER ID |
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1111 N Northshore Dr
Suite S490
Knoxville, TN 37919-2808
Phone (865) 584-0171
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4181824 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Northshore Group, Inc. | Clinical | Current | Accepting new patients |
Locations
1111 N Northshore Dr
Ste S490
Knoxville, TN 37919
Phone (865) 584-0171
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275576209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 N NORTHSHORE DR",
"address_2": "SUITE SOUTH 490",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379194005",
"telephone_number": "865-584-0171",
"fax_number": "865-584-0174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 N NORTHSHORE DR",
"address_2": "SUITE SOUTH 490",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379194005",
"telephone_number": "865-584-0171",
"fax_number": "865-584-0174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKEE",
"first_name": "BEVERLY",
"credential": "PH.D., LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "4181824",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS TN PROVIDER ID",
"identifier": "3028850",
"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 Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.