Active NPI
Mary J Stokley, LCSW
- Clinical Social Worker
- Greeneville, TN
National Provider Identifier
1558368175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LSW4231
- Practice address
- 91 Jackson LN E
Greeneville, TN 37745-5300 - Phone
- (423) 787-0238
- Fax
- (423) 787-0796
- NPI assigned
- Jun 29, 2005
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSW4231 | TN | Primary |
Addresses
Primary practice location
91 Jackson LN E
Greeneville, TN 37745-5300
Mailing address
122 Village Dr
Greeneville, TN 37745-4228
Phone (423) 787-0238
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3926726 | Medicaid | TN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW4231 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ameripartner Inc. | Past | Accepting new patients | |
| Rural Health Services Consortium of Upper East Tennessee Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Kingsport, TN
- NPI 1255130027
-
- Clinical Psychologist
- Dalton, GA
- NPI 1023067626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1558368175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 VILLAGE DR",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377454228",
"telephone_number": "423-787-0238",
"fax_number": "423-787-0796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 JACKSON LN E",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377455300",
"telephone_number": "423-787-0238",
"fax_number": "423-787-0796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOKLEY",
"first_name": "MARY",
"middle_name": "J",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LSW4231",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3926726",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greeneville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.