Individual provider Active NPI

Lindsay Thornburg, LCSW

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1588236848
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW000OOO6218 Issued in TN
Practice address
3300 N Broadway St
Knoxville, TN 37917-2733
Phone
(865) 314-8871
NPI assigned
Jul 15, 2021
Last updated
Jul 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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 LSW000OOO6218 TN Primary

Addresses

Primary practice location

3300 N Broadway St
Knoxville, TN 37917-2733

Mailing address

5928 Tallent Rd
Knoxville, TN 37912-2411
Phone (865) 314-8871

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
I20210825004060 TN Practitioner - Clinical Social Worker 6406251651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coffee County Hospital Group IncGroup PAC ID 1456317783, 87 clinicians
Ultacare Medical PLLCGroup PAC ID 4789687484, 52 clinicians

Practice addresses (Care Compare)

482 Interstate Dr
Suite a
Manchester, TN 37355-3109
Phone (931) 728-4718

606 N Broad St
New Tazewell, TN 37825-6610
Phone (423) 259-5002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW000OOO6218TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ultacare Medical PLLC Clinical CurrentSince Jun 25, 2021 Accepting new patients
Elite Urgent Care PLLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

1225 E Weisgarber Rd
Ste 190
Knoxville, TN 37909
Phone (423) 259-5002

2120 Highland Ave
Knoxville, TN 37916
Phone (865) 386-6392

3300 N Broadway St
Knoxville, TN 37917
Phone (865) 686-7300

606 N Broad St
New Tazewell, TN 37825
Phone (423) 626-0466

5261 Carrollton Pike
Ste A
Woodlawn, VA 24381

5261 Carrollton Pike
Ste C
Woodlawn, VA 24381
Phone (276) 238-0911

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1588236848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5928 TALLENT RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379122411",
            "telephone_number": "865-314-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 N BROADWAY ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379172733",
            "telephone_number": "865-314-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNBURG",
        "first_name": "LINDSAY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW000OOO6218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.