Individual provider Active NPI

Terri Lynne Knowlton-Richards, CMSW

  • Social Worker
  • Memphis, TN
National Provider Identifier
1861512014
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CSW0000003376 Issued in TN
Practice address
427 Linden Ave
Memphis, TN 38126-2023
Phone
(901) 577-9400
Fax
(901) 577-0200
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CSW0000003376 TN Primary

Addresses

Primary practice location

427 Linden Ave
Memphis, TN 38126-2023

Mailing address

6874 Magnolia Dr
Olive Branch, MS 38654-4380
Phone (662) 893-1117

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW0000003376TNMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861512014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6874 MAGNOLIA DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386544380",
            "telephone_number": "662-893-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 LINDEN AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381262023",
            "telephone_number": "901-577-9400",
            "fax_number": "901-577-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLTON-RICHARDS",
        "first_name": "TERRI",
        "middle_name": "LYNNE",
        "credential": "CMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "CSW0000003376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.