Active NPI
Rebecca Juarez, LMSW
- Social Worker
- Powell, TN
National Provider Identifier
1477872638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 8421 (LMSW)
- Practice address
- 7714 Conner Rd
Suite 105
Powell, TN 37849-3559 - Phone
- (865) 947-6220
- Fax
- (865) 512-1069
- NPI assigned
- May 26, 2010
- Last updated
- Mar 6, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8421 (LMSW) | TN | Primary |
Addresses
Primary practice location
7714 Conner Rd
Suite 105
Powell, TN 37849-3559
Mailing address
6350 W Andrew Johnson Hwy
Department 100
Talbott, TN 37877-8605
Phone (800) 355-3565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8421 (LMSW) | TN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394064000000",
"number": "1477872638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6350 W ANDREW JOHNSON HWY",
"address_2": "DEPARTMENT 100",
"city": "TALBOTT",
"state": "TN",
"postal_code": "378778605",
"telephone_number": "800-355-3565",
"fax_number": "423-714-2355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7714 CONNER RD",
"address_2": "SUITE 105",
"city": "POWELL",
"state": "TN",
"postal_code": "378493559",
"telephone_number": "865-947-6220",
"fax_number": "865-512-1069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUAREZ",
"first_name": "REBECCA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-26",
"last_updated": "2014-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "8421 (LMSW)",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Powell, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.