Organization Active NPI

Senior Care Consultants Inc

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1295771269
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SENIOR CARE CONSULTANTS INC
Practice address
3508 Maryville Pike
Suite E
Knoxville, TN 37920-6195
Phone
(865) 579-5886
Fax
(865) 579-5884
NPI assigned
Jun 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Brenda Joyce Southerland, LCSWNPI 1124044110
Title
Owner
Phone
(865) 579-5886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

3508 Maryville Pike
Suite E
Knoxville, TN 37920-6195

Mailing address

3508 Maryville Pike
Suite E
Knoxville, TN 37920-6195
Phone (865) 579-5886

Other identifiers 1

IdentifierTypeStateIssuer
3922361MedicaidTN

National Provider Directory

National Provider Directory

Locations

3508 Maryville Pike
Ste E
Knoxville, TN 37920
Phone (865) 579-5886

5710 Kingston Pike
Ste D
Knoxville, TN 37919
Phone (865) 583-0056

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295771269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 MARYVILLE PIKE",
            "address_2": "SUITE E",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379206195",
            "telephone_number": "865-579-5886",
            "fax_number": "865-579-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 MARYVILLE PIKE",
            "address_2": "SUITE E",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379206195",
            "telephone_number": "865-579-5886",
            "fax_number": "865-579-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOUTHERLAND",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-579-5886",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3922361",
            "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 Aug 22, 2020; 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.