Anna Mamo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005938 Issued in NC

Practice address

208 Medical Park Blvd
Bristol, TN 37620-7343

Phone

(423) 979-4050

NPI assigned

Aug 18, 2014

Sex

Female

Sole proprietor

Yes

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

Enrolled in NC, TN2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Education Assistance CorporationGroup PAC ID 3870491269, 168 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/fhir/r4

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.

• Medical Education Assistance Corporation

  • Internal Medicine Physician
  • Johnson City, TN
  • NPI 1235180480
  Medicare reassignment Care Compare group NPD
• Blue Ridge Community Health Services Inc.

  • Federally Qualified Health Center (FQHC)
  • Asheville, NC
  • NPI 1679137558
  Medicare reassignment NPD
• Blue Ridge Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Clyde, NC
  • NPI 1407200264
  Medicare reassignment NPD
• Blue Ridge Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hendersonville, NC
  • NPI 1225029051
  Medicare reassignment NPD
• Blue Ridge Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hendersonville, NC
  • NPI 1437593787
  Medicare reassignment NPD
• Blue Ridge Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Columbus, NC
  • NPI 1750757803
  Medicare reassignment NPD
• Blue Ridge Community Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Brevard, NC
  • NPI 1750144119
  NPD
• Blue Ridge Community Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Arden, NC
  • NPI 1912324740
  NPD
• Blue Ridge Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Lake Lure, NC
  • NPI 1003384140
  NPD
• Blue Ridge Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Spindale, NC
  • NPI 1669803276
  NPD

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1346649183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "376840699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MEDICAL PARK BLVD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207343",
            "telephone_number": "423-979-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMO",
        "first_name": "ANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q083144",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Lorraine Mabe, PHARM.D.
• Meghan Marie Mace, DO
• Jonathan V. Mai, M.D.
• Cathy L Maine, F.N.P.
• Thomas Duncan Makres, M.D.
• Jean Marie Mancini, M.D.
• Alister Mann, DO
• Ealon James Mann, DO
• Elyse Suzanne Mann
• Holly M Mantooth, PHARMD

• Clinical Social Worker in Bristol, TN
• Providers in Bristol, 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 18, 2024; 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.

Verify at the official NPI Registry.