Active NPI
Kellie Anne Kindrick, LCSW
- Clinical Social Worker
- Knoxville, TN
National Provider Identifier
1720805120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9298
- Practice address
- 408 N Cedar Bluff Rd
Knoxville, TN 37923-3607 - Phone
- (865) 268-3852
- NPI assigned
- Sep 25, 2024
- Last updated
- Sep 25, 2024
- 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 | 9298 | TN | Primary |
Addresses
Primary practice location
408 N Cedar Bluff Rd
Knoxville, TN 37923-3607
Mailing address
408 N Cedar Bluff Rd
Knoxville, TN 37923-3607
Phone (865) 268-3852
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9298 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childhelp, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1720805120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 N CEDAR BLUFF RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379233607",
"telephone_number": "865-268-3852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 N CEDAR BLUFF RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379233607",
"telephone_number": "865-268-3852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINDRICK",
"first_name": "KELLIE",
"middle_name": "ANNE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-25",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "9298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
- Kindred Connections Occupational Therapy
- Kindred Minds Psychiatry, PLLC
- Kindred Nursing Centers Limited Partnership (Kindred Nursing and Rehabilitation - Northhaven)
- Kindred Therapy
- Tammy Renee Kindred, CDA, RDA
- Thomas Janson Kindrick, PHARM.D.
- Michelle Kineman
- Adam King, DMD
- Allison M King, M.A. CCC-SLP
- Amy King
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.