Individual provider Active NPI

Elizabeth Joanne Deeter, LCSW

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1679672513
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW0000003306 Issued in TN
Practice address
108 W Summit Hill Dr
Knoxville, TN 37902
Phone
(865) 525-1099
Fax
(865) 525-7494
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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 LSW0000003306 TN Primary

Addresses

Primary practice location

108 W Summit Hill Dr
Knoxville, TN 37902

Mailing address

108 W Summit Hill Dr
Knoxville, TN 37902
Phone (865) 525-1099

Other identifiers 2

IdentifierTypeStateIssuer
2927788MedicaidTN
4099564OtherTNBCBS TN

Other names 1

  • Ms. Betsy J Deeter Other name

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
I20041026000797 TN Practitioner - Clinical Social Worker 3173584711 Practice locations: Knoxville, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4645 Newcom Ave
Knoxville, TN 37919-5131
Phone (865) 406-2995

4869 Chambliss Ave
Knoxville, TN 37919-5122
Phone (865) 406-2995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW0000003306TNMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1679672513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W SUMMIT HILL DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37902",
            "telephone_number": "865-525-1099",
            "fax_number": "865-525-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W SUMMIT HILL DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37902",
            "telephone_number": "865-525-1099",
            "fax_number": "865-525-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEETER",
        "first_name": "ELIZABETH",
        "middle_name": "JOANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000003306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2927788",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "4099564",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETSY",
            "last_name": "DEETER",
            "middle_name": "J",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.