NPIMap

Individual provider Active NPI

Hope Cooke Reneau, LCSW

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1831149996
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
TN4513 Issued in TN
Practice address
9333 Park West Blvd
Suite 103
Knoxville, TN 37923-4341
Phone
(865) 776-8885
Fax
(865) 691-7364
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X TN4513 TN Primary
Social Worker 104100000X 4531 TN

Addresses

Primary practice location

9333 Park West Blvd
Suite 103
Knoxville, TN 37923-4341

Mailing address

9333 Park West Blvd
Suite 103
Knoxville, TN 37923-4341
Phone (865) 776-8885

Other identifiers 1

IdentifierTypeStateIssuer
3987371MedicaidTN

Other names 1

  • Ms. Hope Cooke Evans Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4531TNMDMental Health Counselor
TN4513TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chota Community Health Services Past Accepting new patients
The Middle Path Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1831149996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9333 PARK WEST BLVD",
            "address_2": "SUITE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234341",
            "telephone_number": "865-776-8885",
            "fax_number": "865-691-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 PARK WEST BLVD",
            "address_2": "SUITE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234341",
            "telephone_number": "865-776-8885",
            "fax_number": "865-691-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENEAU",
        "first_name": "HOPE",
        "middle_name": "COOKE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "TN4513",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "4531",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3987371",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOPE",
            "last_name": "EVANS",
            "middle_name": "COOKE",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.