Active NPI
Leanne Ingle Dougherty, LCSW DSW
- Clinical Social Worker
- Knoxville, TN
National Provider Identifier
1699785261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LSW0000000183
- Practice address
- 4877 Chambliss Ave
Knoxville, TN 37919 - Phone
- (865) 588-1923
- Fax
- (865) 584-7487
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSW0000000183 | TN | Primary |
Addresses
Primary practice location
4877 Chambliss Ave
Knoxville, TN 37919
Mailing address
4877 Chambliss Ave
Knoxville, TN 37919
Phone (865) 588-1923
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3924680 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW0000000183 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699785261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4877 CHAMBLISS AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37919",
"telephone_number": "865-588-1923",
"fax_number": "865-584-7487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4877 CHAMBLISS AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37919",
"telephone_number": "865-588-1923",
"fax_number": "865-584-7487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGHERTY",
"first_name": "LEANNE",
"middle_name": "INGLE",
"name_prefix": "Dr.",
"credential": "LCSW DSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LSW0000000183",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3924680",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.