Carrie Fair, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW0000005771 Issued in TN

Practice address

125 N Concord St
Knoxville, TN 37919-2330

Phone

(865) 323-2617

NPI assigned

Aug 29, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1427458264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 HOLSTON HILLS RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379146295",
            "telephone_number": "865-323-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N CONCORD ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379192330",
            "telephone_number": "865-323-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIR",
        "first_name": "CARRIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000005771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Otilia Miga Faget, MD
• Marilyn Sue Fahringer, M.S.
• Catherine Yvonne Fain-Talbot
• Tiffany Marie Fain, RN
• Walter D Fain, D.D.S.
• Jacey R Fair
• Sarah Ervin Fair, DPT
• Deshawn Jamal Fairbairn, DPT
• Amy Eileen Fairbanks, MS PSYCHOLOGY, RBT
• Julia Lynn Fairchild

• Clinical Social Worker in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.