Individual provider Active NPI

Gloria B Lee, LCSW

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1780200048
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7222 Issued in TN
Practice address
10133 Sherrill Blvd Ste 220
Knoxville, TN 37932
Phone
(615) 320-1155
Fax
(615) 320-1177
NPI assigned
Jun 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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 7222 TN Primary

Addresses

Primary practice location

10133 Sherrill Blvd Ste 220
Knoxville, TN 37932

Mailing address

220 Athens Way Ste 104
Nashville, TN 37228-1351
Phone (615) 320-1155

Other practice location 1

101 Lena Dr
Rogersville, TN 37857-2951
Phone (423) 272-9239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200825001721 TN Practitioner - Clinical Social Worker 8527485325 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Tennessee, HSC, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athena Consulting and Psychological Services, PLLCGroup PAC ID 5294719795, 60 clinicians

Practice addresses (Care Compare)

341 Cool Springs Blvd
Suite 140
Franklin, TN 37067-7222
Phone (615) 320-1155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7222TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Health CurrentSince Jun 22, 2020 Accepting new patients
Frontier Health CurrentSince Jun 22, 2020 Accepting new patients
Athena Consulting and Psychological Services, PLLC Clinical CurrentSince Sep 25, 2024 Accepting new patients

Locations

341 Cool Springs Blvd
Ste 140
Franklin, TN 37067
Phone (615) 347-1507

109 Hazel Path
Ste 4
Hendersonvlle, TN 37075
Phone 6153201155 ext. 232

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

10133 Sherrill Blvd
Ste 220
Knoxville, TN 37932
Phone (776) 641-1155

220 Athens Way
Ste 104
Nashville, TN 37228
Phone (615) 380-4725

101 Lena Dr
Rogersville, TN 37857
Phone (423) 272-9239

Organizations & group practices 3

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": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1780200048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ATHENS WAY STE 104",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281351",
            "telephone_number": "615-320-1155",
            "fax_number": "153-201-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10133 SHERRILL BLVD STE 220",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37932",
            "telephone_number": "615-320-1155",
            "fax_number": "615-320-1177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Lena Dr",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378572951",
            "country_code": "US",
            "telephone_number": "423-272-9239",
            "fax_number": "423-467-3644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "GLORIA",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.