Active NPI
Donna Cherry
- Clinical Social Worker
- Johnson City, TN
National Provider Identifier
1376184135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C012230
- Practice address
- 321 W Walnut St Ste 2
Johnson City, TN 37604-6774 - Phone
- (423) 202-3622
- Fax
- (423) 631-0019
- NPI assigned
- Oct 3, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C012230 | TN | Primary |
Addresses
Primary practice location
321 W Walnut St Ste 2
Johnson City, TN 37604-6774
Mailing address
321 W Walnut St Ste 2
Johnson City, TN 37604-6774
Phone (423) 202-3622
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C012230 | Other | SW | |
| C012230 | Other | TN | SOCIAL WORK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | rbt2.tcbt@gmail.com |
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 |
|---|---|---|---|
| C012230 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1376184135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 W WALNUT ST STE 2",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376046774",
"telephone_number": "423-202-3622",
"fax_number": "423-631-0019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 W WALNUT ST STE 2",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376046774",
"telephone_number": "423-202-3622",
"fax_number": "423-631-0019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERRY",
"first_name": "DONNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-03",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "C012230",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SW",
"identifier": "C012230",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORK",
"identifier": "C012230",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "rbt2.tcbt@gmail.com",
"affiliation": "N",
"address_1": "321 W Walnut St Ste 2",
"city": "Johnson City",
"state": "TN",
"country_code": "US",
"postal_code": "376046774",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Johnson City, TN
- Ryan Jared Chatelain, DPM
- Dhara Jesangbhai Chaudhari, M.D
- Karan Rajeshkumar Chaudhari, M.B.B.S.
- Donna D Chaudron, M.S., CCC-SLP
- Katherine Cheesman, MPH, PHD
- Lillian Rosemyra Chicco, MS, RDN, LDN
- Sally Elizabeth Chikomb
- Jessica Lynn Childers, PT
- Stephanie M Childress, FNP-C
- Traci L Childress, APRN, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.