Individual provider Active NPI

Cynthia June Hernanz, L.C.S.W.

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1689816209
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5109 Issued in TN
Practice address
111 Center Park Drive
Suite 1300
Knoxville, TN 37922-2124
Phone
(865) 313-5683
Fax
(865) 691-7364
NPI assigned
Mar 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5109 TN Primary
Clinical Social Worker 1041C0700X 9237 FL

Addresses

Primary practice location

111 Center Park Drive
Suite 1300
Knoxville, TN 37922-2124

Mailing address

PO Box 20776
Knoxville, TN 37940-1776
Phone (865) 313-5683

Other names 1

  • Miss Cynthia June Fritts Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: No
  • 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
I20090629000507 TN Practitioner - Clinical Social Worker 6800947094 Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9237FLMDClinical Social Worker
5109TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Counseling Center Past Accepting new patients
Helen Ross McNabb Center Past Accepting new patients

Organizations & group practices 2

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": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1689816209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20776",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379401776",
            "telephone_number": "865-313-5683",
            "fax_number": "865-691-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CENTER PARK DRIVE",
            "address_2": "SUITE 1300",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222124",
            "telephone_number": "865-313-5683",
            "fax_number": "865-691-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANZ",
        "first_name": "CYNTHIA",
        "middle_name": "JUNE",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5109",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "9237",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "FRITTS",
            "middle_name": "JUNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.