Donna Elizabeth Kirk, LCSW
Individual provider Active NPI Clinical Social Worker · Clinton, TN
NPI 1366066342 · NPPES record last updated Jun 4, 2020
Key facts
- NPI
- 1366066342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LSW5055 (TN)
- Practice address
- 1107 N Charles G Seivers Blvd Ste 101
Clinton, TN 37716-3944 - Phone
- (865) 934-6150
- Fax
- (865) 642-0150
- NPI assigned
- Jun 4, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 22
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- University of South Florida College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cherokee Health Systems
Practice addresses (Care Compare)
1107 N Charles G Seivers Blvd
Suite 101
Clinton, TN 37716-3944
Phone (865) 934-6150
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200722001540 | TN | Practitioner - Clinical Social Worker | 5597189670 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW5055 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Health Systems | Current |
Accepting new patients | |
| Cherokee Health Systems | Current |
Accepting new patients | |
| Cherokee Health Systems | Past |
Accepting new patients |
Locations
165 Frank L Diggs Dr
Clinton, TN 37716
Phone (865) 934-6150
1107 N Charles G Seivers Blvd
#101
Clinton, TN 37716
Phone (865) 934-6150
2018 Western Ave
Knoxville, TN 37921
Phone (865) 544-0406
1923 Sulphur Springs Rd
Morristown, TN 37813
6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031
Interoperability endpoints
- donna.kirk.p1@direct.cherokeehealth.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSW5055 | TN | Yes |
Addresses
Primary practice location
1107 N Charles G Seivers Blvd Ste 101
Clinton, TN 37716-3944
Mailing address
1923 Sulphur Springs Rd
Morristown, TN 37813-5654
Phone (423) 317-9344
NPI Registry JSON
{
"created_epoch": "1591228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591228800000",
"number": "1366066342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1923 SULPHUR SPRINGS RD",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378135654",
"telephone_number": "423-317-9344",
"fax_number": "423-714-2355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 N CHARLES G SEIVERS BLVD STE 101",
"city": "CLINTON",
"state": "TN",
"postal_code": "377163944",
"telephone_number": "865-934-6150",
"fax_number": "865-642-0150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "DONNA",
"middle_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-04",
"last_updated": "2020-06-04",
"certification_date": "2020-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LSW5055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, TN
- Judy B Jones
- K-VA-T Food Stores, Inc.
- Key Springs Counseling Services, PLLC
- Kile FNP Healthcare LLC
- Charlotte Faye King
- Joyce S Klee
- Joel M Kleinman
- Brandon Knight
- Rhiannon Knight
- Kaylee Knoernschild
All providers in Clinton, TN · Clinical Social Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.