Montana Jean McDermott, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8772 Issued in TN

Practice address

3938 Conley LN
Knoxville, TN 37918-2009

Phone

(865) 226-9882

NPI assigned

Jul 1, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Montana Jean Yates Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743206400000",
    "number": "1598382053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3938 CONLEY LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182009",
            "telephone_number": "865-226-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3938 CONLEY LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182009",
            "telephone_number": "865-226-9882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1557 Downtown West Blvd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379195407",
            "country_code": "US",
            "telephone_number": "865-221-2237 x4123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "MONTANA",
        "middle_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "12645",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "8772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONTANA",
            "last_name": "YATES",
            "middle_name": "JEAN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Teresa Lynn McCusker, RD, LDN
• William Michael McDade, MA
• Daryl Lee McDaniel, M.D.
• Vicky C McDaniel, LPC
• Jessica McDermott
• Amy Lee McDonald, RN
• Kara McDonald, PTA
• Mary Eileen McDonald
• Michael David McDonald, DO
• Olivia Noel McDonald

• Clinical Social Worker in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.