Active NPI
Mary Katherine Shires, LMSW
- Social Worker
- Knoxville, TN
National Provider Identifier
1881145142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10963 (LMSW)
- Practice address
- 3006 Lake Brook Blvd
Knoxville, TN 37909-1137 - Phone
- (865) 637-9711
- NPI assigned
- Oct 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 10963 (LMSW) | TN | Primary |
Addresses
Primary practice location
3006 Lake Brook Blvd
Knoxville, TN 37909-1137
Mailing address
201 W Springdale Ave
Knoxville, TN 37917-5158
Phone (865) 637-9711
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10963 (LMSW) | TN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548720000000",
"number": "1881145142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W SPRINGDALE AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379175158",
"telephone_number": "865-637-9711",
"fax_number": "865-637-4362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3006 LAKE BROOK BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379091137",
"telephone_number": "865-637-9711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRES",
"first_name": "MARY",
"middle_name": "KATHERINE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-20",
"last_updated": "2019-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "10963 (LMSW)",
"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 Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.