Individual provider Active NPI

Alice Garrison, LCSW

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1700931862
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
04050 Issued in TN
Practice address
101 E Blount Ave
Suite 650
Knoxville, TN 37920-1632
Phone
(865) 632-5058
Fax
(865) 549-2166
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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 04050 TN Primary

Addresses

Primary practice location

101 E Blount Ave
Suite 650
Knoxville, TN 37920-1632

Mailing address

101 E Blount Ave
Suite 650
Knoxville, TN 37920-1632
Phone (865) 632-5058

Other identifiers 2

IdentifierTypeStateIssuer
04050OtherTNSTATE LICENSE
1508843MedicaidTN

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

LicenseStateTypeSpecialty
04050TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care Consultants Inc Clinical Past Accepting new patients
East Tennessee Women'S Care, PC 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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1700931862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BLOUNT AVE",
            "address_2": "SUITE 650",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201632",
            "telephone_number": "865-632-5058",
            "fax_number": "865-549-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BLOUNT AVE",
            "address_2": "SUITE 650",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201632",
            "telephone_number": "865-632-5058",
            "fax_number": "865-549-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "ALICE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "04050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "04050",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508843",
            "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 Apr 1, 2011; 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.