Mildred Elaine Denton, LMSW- TN, LCSW- VA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904007718 Issued in VA

Practice address

309 South Hollow Rd
Blountville, TN 37617

Phone

(423) 967-7119

NPI assigned

Aug 14, 2012

Last updated

Aug 14, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1609123231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 SOUTH HOLLOW RD",
            "city": "BLOUNTVILLE",
            "state": "TN",
            "postal_code": "37617",
            "telephone_number": "423-967-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SOUTH HOLLOW RD",
            "city": "BLOUNTVILLE",
            "state": "TN",
            "postal_code": "37617",
            "telephone_number": "423-967-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENTON",
        "first_name": "MILDRED",
        "middle_name": "ELAINE",
        "credential": "LMSW- TN, LCSW- VA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "LSW7683",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Sullivan (Sullivan County Health Department)
• Courtney Cox, OTR/L
• Christy Crawford, PT
• Brittany Cheyenne Davenport, BSDH, RDH
• Lisa Duncan Davis, MS RD LDN CNSC
• Tammy Sue Denton, REGISTERED NURSE
• Director of Schools - Sullivan County
• Dr. G. Andrew Agett, DDS, PC
• DRBG PLLC (Oak Crest Dental)
• Linsey Rowe Duncan, RN

• Clinical Social Worker in Blountville, TN
• Providers in Blountville, 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 Aug 14, 2012; 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.