Active NPI
Amy Romeo Herron, LCSW
- Clinical Social Worker
- Rogersville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6647
- 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, 2019
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6647 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Bulls Gap Medical Center
- Federally Qualified Health Center (FQHC)
- Bulls Gap, TN
- NPI 1770583544
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.