Shawndell Eddington, LCSW
Individual provider Active NPI Clinical Social Worker · Talbott, TN
NPI 1780086645 · NPPES record last updated Apr 14, 2021
Key facts
- NPI
- 1780086645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6711 (TN)
- Practice address
- 6350 W Andrew Johnson Hwy
Talbott, TN 37877-8605 - Phone
- (423) 587-7337
- Fax
- (423) 586-0614
- NPI assigned
- Sep 23, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8450 (LMSW) | TN | MD | Social Worker |
| 6711 | TN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8450 (LMSW) | TN | |
| Clinical Social Worker | 1041C0700X | 6711 | TN | Yes |
Addresses
Primary practice location
6350 W Andrew Johnson Hwy
Talbott, TN 37877-8605
Mailing address
1923 Sulphur Springs Rd
Morristown, TN 37813-5654
Phone (423) 317-9344
Other providers in Talbott, TN
- Judith Diaz
- Tara Michelle Dickey
- Doyenne Life Management, LLC
- Carolyn Drake
- Allison Janney East
- Victoria Jewell Eldridge
- Oren Michael Ellis
- Sasha Mecole Ellison
- Meredith Leigh Embree
- Arlin Yasmin Escalante
All providers in Talbott, 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 Apr 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.