Active NPI
Jennifer Smith McComas, LCSW
- Clinical Social Worker
- Knoxville, TN
National Provider Identifier
1861866279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LSW0000007705
- Practice address
- 4869 Chambliss Ave
Knoxville, TN 37919-5122 - Phone
- (865) 742-8094
- NPI assigned
- Nov 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSW0000009607 | TN | |
| Clinical Social Worker | 1041C0700X | LSW0000007705 | TN | Primary |
Addresses
Primary practice location
4869 Chambliss Ave
Knoxville, TN 37919-5122
Mailing address
4869 Chambliss Ave
Knoxville, TN 37919-5122
Phone (865) 742-8094
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 16, 2025 through Jan 16, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW0000007705 | TN | MD | Social Worker |
| LSW0000009607 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1861866279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4869 CHAMBLISS AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379195122",
"telephone_number": "865-742-8094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4869 CHAMBLISS AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379195122",
"telephone_number": "865-742-8094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOMAS",
"first_name": "JENNIFER",
"middle_name": "SMITH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-23",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LSW0000009607",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LSW0000007705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.