Paula Alexander, LCSW
Individual provider Active NPI Clinical Social Worker · Knoxville, TN
NPI 1912937848 · NPPES record last updated Oct 20, 2021
Key facts
- NPI
- 1912937848
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LSW0000003623 (TN)
- Practice address
- 5410 Homberg Dr.
Suite 18
Knoxville, TN 37919-5029 - Phone
- (865) 640-5492
- Fax
- (865) 671-1271
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5410 Homberg Dr
Knoxville, TN 37919-5029
Phone (865) 671-9631
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110106000780 | TN | Practitioner - Clinical Social Worker | 1951590991 | Practice locations: Knoxville, TN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3623 | TN | MD | Clinical Psychologist |
| LSW0000003623 | TN | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSW0000003623 | TN | Yes |
Addresses
Primary practice location
5410 Homberg Dr.
Suite 18
Knoxville, TN 37919-5029
Mailing address
5410 Homberg Dr.
Suite 18
Knoxville, TN 37919-5029
Phone (865) 640-5492
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1506877 | Medicaid | TN |
Other names
- PJ Alexander
Other providers in Knoxville, TN
- Felicia Alexander
- Gwen Alexander
- James Sidney Alexander
- Joel Alexander
- Kineka Alexander
- Pierce C Alexander
- Ryan Alexander
- Sarah L Alexander
- Yolanda Alexander
- Esmilsa Elizabeth Alford-Christian
All providers in Knoxville, TN · Clinical Social Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.