Individual provider Active NPI

Emily C Lee, LCSW, BCD

  • Social Worker
  • Knoxville, TN
National Provider Identifier
1366522732
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCSW0250 Issued in TN
Practice address
10415 Hickory Path Way Ste 101
Knoxville, TN 37922-0701
Phone
(865) 675-1555
Fax
(865) 675-2003
NPI assigned
Oct 17, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCSW0250 TN Primary

Addresses

Primary practice location

10415 Hickory Path Way Ste 101
Knoxville, TN 37922-0701

Mailing address

10415 Hickory Path Way Ste 101
Knoxville, TN 37922-0701
Phone (865) 675-1555

Other identifiers 1

IdentifierTypeStateIssuer
3694451MedicaidTN

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
LCSW0250TNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Willowbrook Counseling LLC CurrentSince Jul 24, 2022 Accepting new patients
Knoxville Psychiatric Group Past Accepting new patients

Locations

10415 Hickory Path Way
Ste 101
Knoxville, TN 37922
Phone (865) 671-1274

Organizations & group practices 2

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366522732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10415 HICKORY PATH WAY STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379220701",
            "telephone_number": "865-675-1555",
            "fax_number": "865-675-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10415 HICKORY PATH WAY STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379220701",
            "telephone_number": "865-675-1555",
            "fax_number": "865-675-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "EMILY",
        "middle_name": "C",
        "credential": "LCSW, BCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "LCSW0250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3694451",
            "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 21, 2022; 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.