Individual provider Active NPI

Pamela Shands Murph, LCSW

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1366462517
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW0000003708 Issued in TN
Practice address
4869 Chambliss Ave
Knoxville, TN 37919-5122
Phone
(865) 216-6693
Fax
(865) 932-4488
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSW0000003708 TN Primary

Addresses

Primary practice location

4869 Chambliss Ave
Knoxville, TN 37919-5122

Mailing address

445 Ridgedale Dr
Strawberry Plains, TN 37871-3529
Phone (865) 216-6693

Other identifiers 2

IdentifierTypeStateIssuer
3927174MedicaidTN
4107557OtherTNBCBS

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

LicenseStateTypeSpecialty
LSW0000003708TNMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1366462517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 RIDGEDALE DR",
            "city": "STRAWBERRY PLAINS",
            "state": "TN",
            "postal_code": "378713529",
            "telephone_number": "865-216-6693",
            "fax_number": "865-932-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4869 CHAMBLISS AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195122",
            "telephone_number": "865-216-6693",
            "fax_number": "865-932-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPH",
        "first_name": "PAMELA",
        "middle_name": "SHANDS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000003708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3927174",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4107557",
            "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 Jul 9, 2007; 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.