Individual provider Active NPI

Lisa E Davis

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1457413932
Registry record updated Jun 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0508 Issued in TN
Practice address
111 Center Park Dr Ste 1300
Knoxville, TN 37922-2124
Phone
(865) 898-6877
Fax
(865) 691-7364
NPI assigned
Dec 14, 2006
Last updated
Jun 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LSW0000000508 TN
Clinical Social Worker 1041C0700X 0508 TN Primary

Addresses

Primary practice location

111 Center Park Dr Ste 1300
Knoxville, TN 37922-2124

Mailing address

111 Center Park Dr Ste 1300
Knoxville, TN 37922-2124
Phone (865) 898-6877

Other identifiers 4

IdentifierTypeStateIssuer
4045434OtherTNB.C.B.S.T.N.
000146732OtherTNB.C.B.S.T. NUMBER
1508351MedicaidTN
3693562MedicaidTN

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
I20080924000159 TN Practitioner - Clinical Social Worker 7618044215 Practice locations: Knoxville, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 Ctr Park Dr
Suite 1300
Knoxville, TN 37922-2124
Phone (865) 693-9997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW0000000508TNMDSocial Worker
0508TNMDClinical 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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782604800000",
    "number": "1457413932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CENTER PARK DR STE 1300",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222124",
            "telephone_number": "865-898-6877",
            "fax_number": "865-691-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CENTER PARK DR STE 1300",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222124",
            "telephone_number": "865-898-6877",
            "fax_number": "865-691-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LISA",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2026-06-28",
        "certification_date": "2026-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "LSW0000000508",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "0508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B.C.B.S.T.N.",
            "identifier": "4045434",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B.C.B.S.T. NUMBER",
            "identifier": "000146732",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508351",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3693562",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.