Individual provider Active NPI

Leslie Anderson Pignataro, LMSW

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1497467567
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11074 Issued in TN
Practice address
10700 Virginia Pine Way Ste 202
Knoxville, TN 37932-1801
Phone
(865) 407-0071
Fax
(865) 217-1109
NPI assigned
Dec 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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 11074 TN Primary

Addresses

Primary practice location

10700 Virginia Pine Way Ste 202
Knoxville, TN 37932-1801

Mailing address

10700 Virginia Pine Way Ste 202
Knoxville, TN 37932-1801
Phone (865) 407-0071

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
I20250527002605 TN Practitioner - Clinical Social Worker 3072032606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Mindful Wellness Center LLCGroup PAC ID 6204258106, 5 clinicians

Practice addresses (Care Compare)

314 Prosperity Dr
Knoxville, TN 37923-4710
Phone (865) 407-0071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11074TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory Brewer, M.D.,PLLC CurrentSince Feb 1, 2025 Accepting new patients
Knoxville Mindful Wellness Center, LLC Clinical CurrentSince Feb 1, 2025 Accepting new patients

Locations

314 Prosperity Dr
Knoxville, TN 37923
Phone (865) 407-0071

10700 Virginia Pine Way
Ste 202
Knoxville, TN 37932
Phone (865) 407-0071

Organizations & group practices 2

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": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1497467567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 VIRGINIA PINE WAY STE 202",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321801",
            "telephone_number": "865-407-0071",
            "fax_number": "865-217-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 VIRGINIA PINE WAY STE 202",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321801",
            "telephone_number": "865-407-0071",
            "fax_number": "865-217-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIGNATARO",
        "first_name": "LESLIE",
        "middle_name": "ANDERSON",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "11074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.