Individual provider Active NPI

Beverly McKee, PH.D., LCSW

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1275576209
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4181824 Issued in TN
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

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 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

IdentifierTypeStateIssuer
3028850OtherTNBC/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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120313000361 TN Practitioner - Clinical Social Worker 4789843665 Reassigns benefits to 1 organization
Practice locations: Knoxville, TN

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
The Northshore Group IncGroup PAC ID 7012374929, 16 clinicians

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

LicenseStateTypeSpecialty
4181824TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Northshore Group, Inc. Clinical CurrentSince Jun 1, 2023 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

Verify at the official NPI Registry.