Active NPI
Cognitive Behavioral Specialists of the Tri-Cities
- Social Worker
- Kingsport, TN
National Provider Identifier
1538237987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LSW0000003421
- Legal business name
- COGNITIVE BEHAVIORAL SPECIALISTS OF THE TRI-CITIES
- Practice address
- 2758 E Center St
Kingsport, TN 37664-2754 - Phone
- (423) 245-5608
- Fax
- (423) 245-5600
- NPI assigned
- Dec 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheri Anglin, LCSW
- Title
- General Partner
- Phone
- (423) 245-5608
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LSW0000003421 | TN | Primary |
Addresses
Primary practice location
2758 E Center St
Kingsport, TN 37664-2754
Mailing address
2758 E Center St
Kingsport, TN 37664-2754
Phone (423) 245-5608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3922813 | Medicaid | TN |
Other names 1
- CBS of the Tri-cities
National Provider Directory
National Provider DirectoryLocations
2758 E Center St
Kingsport, TN 37664
Phone (423) 245-5608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476748800000",
"number": "1538237987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2758 E CENTER ST",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376642754",
"telephone_number": "423-245-5608",
"fax_number": "423-245-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2758 E CENTER ST",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376642754",
"telephone_number": "423-245-5608",
"fax_number": "423-245-5600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COGNITIVE BEHAVIORAL SPECIALISTS OF THE TRI-CITIES",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-02",
"last_updated": "2016-10-18",
"status": "A",
"authorized_official_last_name": "ANGLIN",
"authorized_official_first_name": "CHERI",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "423-245-5608",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "TN",
"license": "LSW0000003421",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3922813",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CBS of the Tri-cities",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.