Active NPI
Fred Lewis Stephens, LCSW
- Clinical Social Worker
- Oak Ridge, TN
National Provider Identifier
1356658165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LSW0000006209
- Practice address
- 679B Emory Valley Rd
Oak Ridge, TN 37830-7756 - Phone
- (865) 383-0062
- NPI assigned
- Sep 1, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSW0000006209 | TN | Primary |
Addresses
Primary practice location
679B Emory Valley Rd
Oak Ridge, TN 37830-7756
Mailing address
1143 Oak Ridge Tpke Ste 107B
Ste 107B, PMB 274
Oak Ridge, TN 37830-6422
Phone (865) 383-0062
Other practice location 1
109 Caldwell Dr
Oak Ridge, TN 37830-7740
Phone (865) 383-0062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW0000006209 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Keith Albiston | Past | Accepting new patients |
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.
-
dba ROBERT K. ALBISTON, Ph.D., P.C.
- Clinical Psychologist
- Kingston, TN
- NPI 1417090838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701993600000",
"number": "1356658165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1143 OAK RIDGE TPKE STE 107B",
"address_2": "STE 107B, PMB 274",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306422",
"telephone_number": "865-383-0062",
"fax_number": "865-280-3816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "679B EMORY VALLEY RD",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378307756",
"telephone_number": "865-383-0062"
}
],
"practiceLocations": [
{
"address_1": "109 Caldwell Dr",
"address_purpose": "LOCATION",
"city": "Oak Ridge",
"state": "TN",
"postal_code": "378307740",
"country_code": "US",
"telephone_number": "865-383-0062",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEPHENS",
"first_name": "FRED",
"middle_name": "LEWIS",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-01",
"last_updated": "2023-12-08",
"certification_date": "2023-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LSW0000006209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.