Edha Sue Meadows-Brown, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW0000005859 Issued in TN

Practice address

296 Gamble Ave
Maryville, TN 37801-4943

Phone

(865) 352-9059

NPI assigned

Dec 8, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Middle Path

  • Community/Behavioral Health Agency
  • Knoxville, TN
  • NPI 1225404031
  NPD (past)

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1851766414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 BUCKINGHAM CIR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378036505",
            "telephone_number": "865-352-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 GAMBLE AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378014943",
            "telephone_number": "865-352-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS-BROWN",
        "first_name": "EDHA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-08",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000005859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Bradford McMahan, DC
• Donna Marie McMahan, CRNA
• Alissa Cole McMahon
• Reagan McNerney, D.M.D.
• Joshua McNutt, DDS
• Margaret Meares, CCC-SLP
• Medical Equipment Distributors of Tennessee, Inc
• Susan Leah Melton, RDH
• Vanessa L Melton
• Men'S Health of Maryville

• Clinical Social Worker in Maryville, TN
• Providers in Maryville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.