Active NPI
Caroline Gray Bryant, LMSW
- Clinical Social Worker
- Knoxville, TN
National Provider Identifier
1366979825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12381
- Practice address
- 10630 High Meadow Dr
Knoxville, TN 37932-2515 - Phone
- (865) 603-6588
- NPI assigned
- May 16, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 12381 | TN | Primary |
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
10630 High Meadow Dr
Knoxville, TN 37932-2515
Mailing address
10630 High Meadow Dr
Knoxville, TN 37932-2515
Phone (865) 603-6588
Other practice location 1
201 W Springdale Ave
Knoxville, TN 37917-5158
Phone (865) 637-9711
Other practice location 2
4709 Papermill Dr Ste 202
Knoxville, TN 37909-1921
Phone (865) 525-0391
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12381 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Community Health, Inc. | Clinical | 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.
-
- Community/Behavioral Health Agency
- Knoxville, TN
- NPI 1881024172
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1366979825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10630 HIGH MEADOW DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379322515",
"telephone_number": "865-603-6588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10630 HIGH MEADOW DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379322515",
"telephone_number": "865-603-6588"
}
],
"practiceLocations": [
{
"address_1": "201 W Springdale Ave",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379175158",
"country_code": "US",
"telephone_number": "865-637-9711",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4709 Papermill Dr Ste 202",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379091921",
"country_code": "US",
"telephone_number": "865-525-0391",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRYANT",
"first_name": "CAROLINE",
"middle_name": "GRAY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-16",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "12381",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.