Erica R Broyles, LCSW – Clinical Social Worker

Key facts

NPI: 1750144499
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 8990 (TN)
Practice address: 401 Holston Dr
Greeneville, TN 37743-3127
Phone: (423) 639-1104
Fax: (423) 636-8365
NPI assigned: Feb 5, 2024
Sex: Female
Sole proprietor: No

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.

Frontier Health Mental Health Clinic/Center (Including Community Mental Health Center) · Gray, TN · NPI 1720147408

Medicare reassignment Care Compare group NPD TN
Frontier Health Mental Health Clinic/Center (Including Community Mental Health Center) · Sneedville, TN · NPI 1053475558

NPD

Medicare Care Compare profile

Specialty: Clinical Social Worker
Education: Other, 2018
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Frontier Health (70 clinicians)

Practice addresses (Care Compare)

401 Holston Dr
Greeneville, TN 37743-3127
Phone (423) 467-3600

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TN
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20240219003214	TN	Practitioner - Clinical Social Worker	1456795335	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Frontier Health		Current since Jan 30, 2024	Accepting new patients
Frontier Health		Current	Accepting new patients

Locations

401 Holston Dr
Greeneville, TN 37743
Phone (423) 639-1104

1167 Spratlin Park Dr
Johnson City, TN 37615
Phone (423) 232-2670

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	8990	TN	Yes

Addresses

Primary practice location

401 Holston Dr
Greeneville, TN 37743-3127

Mailing address

1167 Spratlin Park Dr
Gray, TN 37615-6205
Phone (423) 467-3600

Other providers in Greeneville, TN

All providers in Greeneville, TN · Clinical Social Worker in Tennessee

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.