Individual provider Active NPI

Lynn M Smith, LCSW

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1598071706
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5279 Issued in TN
Practice address
9724 Kingston Pike
Suite 405
Knoxville, TN 37922-3347
Phone
(865) 548-4484
NPI assigned
Aug 25, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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 5279 TN Primary

Addresses

Primary practice location

9724 Kingston Pike
Suite 405
Knoxville, TN 37922-3347

Mailing address

9724 Kingston Pike
Suite 405
Knoxville, TN 37922-3347
Phone (865) 548-4484

Other identifiers 1

IdentifierTypeStateIssuer
1521510MedicaidTN

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
I20101207000388 TN Practitioner - Clinical Social Worker 5395932156 Practice locations: Knoxville, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

130 Mabry Hood Rd
Suite 103
Knoxville, TN 37922-2221
Phone (865) 482-9252

2202 Award Winning Way
Suite 101
Knoxville, TN 37932-1991
Phone (865) 548-4484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Audiology, PLLC PastSince Mar 1, 2008 Accepting new patients

Organizations & group practices 1

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": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1598071706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9724 KINGSTON PIKE",
            "address_2": "SUITE 405",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223347",
            "telephone_number": "865-548-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9724 KINGSTON PIKE",
            "address_2": "SUITE 405",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223347",
            "telephone_number": "865-548-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LYNN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-25",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521510",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.