Individual provider Active NPI

Linn Anne Davidson, LCSW # 5629

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1538433537
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5629 Issued in TN
Practice address
2202 Award Winning Way Ste 101
Knoxville, TN 37932-1991
Phone
(865) 202-3185
Fax
(865) 202-3185
NPI assigned
Mar 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 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 5629 TN Primary

Addresses

Primary practice location

2202 Award Winning Way Ste 101
Knoxville, TN 37932-1991

Mailing address

913 Catlett Rd
Knoxville, TN 37932-3104
Phone (865) 202-3185

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
I20161230001575 TN Practitioner - Clinical Social Worker 0648551861 Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5629TNMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1538433537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 CATLETT RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323104",
            "telephone_number": "865-202-3185",
            "fax_number": "865-312-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 AWARD WINNING WAY STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321991",
            "telephone_number": "865-202-3185",
            "fax_number": "865-202-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "LINN",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW # 5629",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-08",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.