Individual provider Active NPI

Lorrie L Lundquist, LCSW, M ED

  • Clinical Social Worker
  • Elizabethton, TN
National Provider Identifier
1669693537
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6720 Issued in TN
Practice address
1720 Scenic Dr
Elizabethton, TN 37643-4835
Phone
(907) 350-3757
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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 6720 TN Primary

Addresses

Primary practice location

1720 Scenic Dr
Elizabethton, TN 37643-4835

Mailing address

1720 Scenic Dr
Elizabethton, TN 37643-4835
Phone (907) 350-3757

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
I20200610002348 TN Practitioner - Clinical Social Worker 3274779111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ridgeview Psychiatric Hospital and Center, Inc.Group PAC ID 4981691490, 18 clinicians

Practice addresses (Care Compare)

240 W Tyrone Rd
Oak Ridge, TN 37830-6517
Phone (865) 482-2003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
6720TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgeview Psychiatric Hospital and Center, Inc. CurrentSince Dec 8, 2022 Accepting new patients

Locations

307 Devonia St
Harriman, TN 37748
Phone (865) 882-1164

240 W Tyrone Rd
Oak Ridge, TN 37830
Phone (865) 482-1076

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1669693537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 SCENIC DR",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376434835",
            "telephone_number": "907-350-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 SCENIC DR",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376434835",
            "telephone_number": "907-350-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDQUIST",
        "first_name": "LORRIE",
        "middle_name": "L",
        "credential": "LCSW, M ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethton, TN

Sources for this page

Verify at the official NPI Registry.