Katie K Adcock, BSSW – Case Manager/Care Coordinator

Key facts

NPI: 1396014841
Entity type: Individual (NPI type 1)
Primary specialty: Case Manager/Care Coordinator 171M00000X
Practice address: 4038 Gap Rd
Knoxville, TN 37912-5903
Phone: (865) 525-0391
Fax: (865) 525-0393
NPI assigned: Dec 28, 2011
Sex: Female
Sole proprietor: No

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.

The Solution Source LLC Community/Behavioral Health Agency · Knoxville, TN · NPI 1114100955

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
The Solution Source LLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Case Manager/Care Coordinator	171M00000X			Yes

Addresses

Primary practice location

4038 Gap Rd
Knoxville, TN 37912-5903

Mailing address

1400 La Paloma Dr
Knoxville, TN 37923-1418
Phone (865) 525-0391

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 28, 2011.

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1396014841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 LA PALOMA DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379231418",
            "telephone_number": "865-525-0391",
            "fax_number": "865-525-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4038 GAP RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379125903",
            "telephone_number": "865-525-0391",
            "fax_number": "865-525-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADCOCK",
        "first_name": "KATIE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "BSSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

All providers in Knoxville, TN · Case Manager/Care Coordinator in Tennessee

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.