Amy L Peeler, LCSW
Individual provider Active NPI Clinical Social Worker · Maryville, TN
NPI 1487710034 · NPPES record last updated Dec 12, 2013
Key facts
- NPI
- 1487710034
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 5204 (TN)
- Practice address
- 210 Simmons St
Maryville, TN 37801-4750 - Phone
- (865) 970-9800
- Fax
- (865) 374-7129
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100603000039 | TN | Practitioner - Clinical Social Worker | 4284763186 | Reassigns benefits to 1 organization |
| I20260504004903 | FL | Practitioner - Clinical Social Worker | 4284763186 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW7002 | TN | MD | Social Worker |
| 3730 | HI | MD | Clinical Social Worker |
| 7002 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current |
Accepting new patients |
| Parkwest Medical Center | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CSW7002 | TN | |
| Clinical Social Worker | 1041C0700X | 7002 | TN | |
| Clinical Social Worker | 1041C0700X | 3730 | HI | |
| Clinical Social Worker | 1041C0700X | 5204 | TN | Yes |
Addresses
Primary practice location
210 Simmons St
Maryville, TN 37801-4750
Mailing address
1451 Dowell Springs Blvd
Knoxville, TN 37909-2441
Phone (865) 374-7123
Other names
- Amy Lamar Williams
Other providers in Maryville, TN
- Michelle Peck
- Emma Nicole Pecoraro
- William R Pedersen
- Kristy Lee Pedrero
- Paula Z Peeden
- Todd A Pepper
- Amy Marie Peralta
- Johnna Jo Peralta
- Barry Keith Perkins
- Bridget B. Peterson
All providers in Maryville, TN · Clinical Social Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.