Individual provider Active NPI

Jennifer Fox, LCSW

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1477834877
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5748 Issued in TN
Practice address
1924 Pinnacle Pointe Way Ste 100
Knoxville, TN 37922-3700
Phone
(865) 584-5762
Fax
(833) 908-2102
NPI assigned
Aug 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5748 TN Primary

Addresses

Primary practice location

1924 Pinnacle Pointe Way Ste 100
Knoxville, TN 37922-3700

Mailing address

1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383
Phone (865) 584-4747

Other practice location 1

4466 Lowes Ferry Rd.
Louisville, TN 37777
Phone (865) 253-5690

Other names 1

  • Jennifer Dumpert Former name

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
I20230111000123 TN Practitioner - Clinical Social Worker 3375700016 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians

Practice addresses (Care Compare)

Knoxville, TN 37923
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5748TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical, P.C. CurrentSince Nov 1, 2023 Accepting new patients
Summit Medical Group, PLLC CurrentSince Nov 1, 2022 Accepting new patients
Summit Medical Group, PLLC CurrentSince Nov 1, 2022 Accepting new patients
Summit Medical Group,PLLC Past Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909

7323 Chapman Hwy
Ste 170
Knoxville, TN 37920
Phone (865) 579-0599

7211 Wellington Dr
Ste 201
Knoxville, TN 37919
Phone (865) 584-5762

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

8913 Town and Country Cir
Knoxville, TN 37923
Phone (253) 861-0739

1924 Pinnacle Pointe Way
Ste 100
Knoxville, TN 37922
Phone (865) 584-5762

10626 Chapman Hwy
Seymour, TN 37865
Phone (865) 577-5231

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1477834877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 DICK LONAS RD UNIT 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091383",
            "telephone_number": "865-584-4747",
            "fax_number": "833-908-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 PINNACLE POINTE WAY STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223700",
            "telephone_number": "865-584-5762",
            "fax_number": "833-908-2102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4466 Lowes Ferry Rd.",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "TN",
            "postal_code": "37777",
            "country_code": "US",
            "telephone_number": "865-253-5690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DUMPERT",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.