Cynthia Dawn Ketron, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW0000003148 Issued in TN

Practice address

3218 Dutchess Dr
Kingsport, TN 37663-2904

Phone

(423) 239-5912

NPI assigned

Apr 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mountain States Health Alliance

  • Psychiatric Hospital Unit
  • Kingsport, TN
  • NPI 1417050980
  NPD (past)
• Neurobehavioral Associates

  • Clinical Neuropsychologist
  • Johnson City, TN
  • NPI 1174727309
  NPD (past)
• Paradigm Health Services, Inc

  • Mental Health Counselor
  • Clearwater, FL
  • NPI 1578519146

  Clinical

  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200873600000",
    "number": "1275756983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 DUTCHESS DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632904",
            "telephone_number": "423-239-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 DUTCHESS DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632904",
            "telephone_number": "423-239-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETRON",
        "first_name": "CYNTHIA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000003148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "LSW0000003148",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hunter Kenney
• Kenyon Brennan and Day Assoc. Inc.
• Lisa Marie Ketchem, FNP-C
• Dylan Ketner, PTA
• Christina Diane Ketron, BS
• Heather N Ketron, NP
• James Todd Ketron
• Samantha A Ketron, MD
• Shelly Richards Ketron, PA-C
• Sherrie Jo Ketron, BSW

• Clinical Social Worker in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; 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.