Rivendell Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW0000003963 Issued in TN

Legal business name

RIVENDELL CENTER LLC

Practice address

216 Fairview Dr
Maryville, TN 37803-0537

Phone

(865) 681-4914

Fax

(865) 977-9573

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia L Gallagher, LCSWNPI 1932390309

Title

Owner Manager

Phone

(865) 681-4914

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia L Gallagher, LCSW

  • Clinical Social Worker
  • Maryville, TN
  • NPI 1932390309
  NPD (past) Authorized official
• Sharon N Chastain, MD

  • Psychiatry Physician
  • Maryville, TN
  • NPI 1033299102
  NPD (past)
• Cynthia Marie Irwin, LPC, MHSP

  • Mental Health Counselor
  • Maryville, TN
  • NPI 1538330592
  NPD (past)
• Linda L. Britt, LPC

  • Mental Health Counselor
  • Springfield, MO
  • NPI 1013044320

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1720097975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WILSON AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378036051",
            "telephone_number": "865-681-4914",
            "fax_number": "865-977-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 FAIRVIEW DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378030537",
            "telephone_number": "865-681-4914",
            "fax_number": "865-977-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVENDELL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "865-681-4914",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000003963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3922162",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Elizabeth Riley, LCSW
• Christina Lynn Riley
• Christine M Riley, OTR
• Allie Rinehart, OTT
• Miranda Ritter, DMD
• Catherine Cain Robbins, M.ED.
• Sarah Diana Robbins, PTA
• Shannon R Robbins, DPT
• Roberson Family Dental PLLC
• Aaron D Roberts, D.O

• Clinical Social Worker in Maryville, TN
• Providers in Maryville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.

Verify at the official NPI Registry.