Individual provider Active NPI

Amy Romeo Herron, LCSW

  • Clinical Social Worker
  • Rogersville, TN
National Provider Identifier
1881808871
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6647 Issued in TN
Practice address
4307 Highway 66 S
Rogersville, TN 37857
Phone
(423) 921-1600
Fax
(423) 921-1673
NPI assigned
May 9, 2007
Last updated
Apr 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6647 TN Primary

Addresses

Primary practice location

4307 Highway 66 S
Rogersville, TN 37857

Mailing address

PO Box 850
Rogersville, TN 37857-0850
Phone (423) 921-1600

Other practice location 1

101 Lena Dr
Rogersville, TN 37857-2951
Phone (423) 272-9239

Other practice location 2

101 Lena Dr
Rogersville, TN 37857-2951
Phone (423) 272-9239

Other practice location 3

1570 Waverly Rd
Kingsport, TN 37664-2523
Phone (423) 224-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180723002363 TN Practitioner - Clinical Social Worker 3173870193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
East Tennessee State University Quillen College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 E Ctr St
Kingsport, TN 37660-4973
Phone (423) 251-6996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6647TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Services Consortium of Upper East Tennessee Inc Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1881808871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378570850",
            "telephone_number": "423-921-1600",
            "fax_number": "423-921-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4307 HIGHWAY 66 S",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "37857",
            "telephone_number": "423-921-1600",
            "fax_number": "423-921-1673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Lena Dr",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378572951",
            "country_code": "US",
            "telephone_number": "423-272-9239",
            "fax_number": "423-272-1803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Lena Dr",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378572951",
            "country_code": "US",
            "telephone_number": "423-272-9239",
            "fax_number": "423-272-1803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1570 Waverly Rd",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376642523",
            "country_code": "US",
            "telephone_number": "423-224-1300",
            "fax_number": "423-224-1375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRON",
        "first_name": "AMY",
        "middle_name": "ROMEO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogersville, TN

Sources for this page

Verify at the official NPI Registry.