Individual provider Active NPI

Patricia Louise Scott, LCSW

  • Clinical Social Worker
  • Vonore, TN
National Provider Identifier
1437213352
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW 4138 Issued in TN
Practice address
1206 Highway 411
Vonore, TN 37885-2455
Phone
(423) 442-2622
Fax
(423) 442-5760
NPI assigned
Dec 22, 2006
Last updated
Aug 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSW 4138 TN Primary
Social Worker 104100000X 4138 TN

Addresses

Primary practice location

1206 Highway 411
Vonore, TN 37885-2455

Mailing address

1206 Highway 411
Vonore, TN 37885-2455
Phone (423) 442-2622

Other identifiers 2

IdentifierTypeStateIssuer
1506537MedicaidTN
4128026OtherTNB.C.B.S.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080819000235 TN Practitioner - Clinical Social Worker 2668547183 Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4138TNMDProfessional Counselor
LSW 4138TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chota Community Health Services 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, 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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1437213352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 HIGHWAY 411",
            "city": "VONORE",
            "state": "TN",
            "postal_code": "378852455",
            "telephone_number": "423-442-2622",
            "fax_number": "423-442-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 HIGHWAY 411",
            "city": "VONORE",
            "state": "TN",
            "postal_code": "378852455",
            "telephone_number": "423-442-2622",
            "fax_number": "423-442-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "PATRICIA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW 4138",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "4138",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1506537",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B.C.B.S.",
            "identifier": "4128026",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vonore, TN

Sources for this page

Verify at the official NPI Registry.