Individual provider Active NPI

Cristina E Moorehead, LCSW

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1306356696
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7268 Issued in TN
Practice address
9111 Cross Park Dr Ste E-285
Knoxville, TN 37923-4506
Phone
(865) 290-0211
NPI assigned
Oct 2, 2017
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C012713 NC
Clinical Social Worker 1041C0700X 7268 TN Primary

Addresses

Primary practice location

9111 Cross Park Dr Ste E-285
Knoxville, TN 37923-4506

Mailing address

9111 Cross Park Dr Ste E-285
Knoxville, TN 37923-4506
Phone (865) 290-0211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 26, 2021 through May 26, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C012713NCMDClinical Social Worker
7268TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Insightful Journey Therapy Services PLLC Clinical CurrentSince Nov 9, 2021 Accepting new patients
Village Behavioral Health, LLC PastSince Jun 1, 2020 Accepting new patients
Down to Earth Services PastSince Nov 1, 2021 Accepting new patients

Locations

118 N Peters Rd
Knoxville, TN 37923
Phone (318) 381-5858

9111 Cross Park Dr
Ste E285
Knoxville, TN 37923
Phone (865) 290-0211

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1306356696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9111 CROSS PARK DR STE E-285",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234506",
            "telephone_number": "865-290-0211",
            "fax_number": "865-951-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9111 CROSS PARK DR STE E-285",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234506",
            "telephone_number": "865-290-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOREHEAD",
        "first_name": "CRISTINA",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012713",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.