Individual provider Active NPI

Stacy C Schambach, LCSW

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1932246493
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4704 Issued in TN
Practice address
4420 Whittle Springs Rd
Suite B
Knoxville, TN 37917-1513
Phone
(865) 688-0661
Fax
(865) 688-5780
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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 4704 TN Primary

Addresses

Primary practice location

4420 Whittle Springs Rd
Suite B
Knoxville, TN 37917-1513

Mailing address

4420 Whittle Springs Rd
Suite B
Knoxville, TN 37917-1513
Phone (865) 688-0661

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
I20170201000857 TN Practitioner - Clinical Social Worker 1557644341 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgeview Psychiatric Hospital and Center, Inc. CurrentSince Jan 3, 2017 Accepting new patients

Locations

307 Devonia St
Harriman, TN 37748
Phone (865) 882-1164

240 W Tyrone Rd
Oak Ridge, TN 37830
Phone (865) 482-1076

133 W 2nd Ave
Oneida, TN 37841
Phone (423) 569-7979

830 Main St
#2
Wartburg, TN 37887
Phone (423) 346-6221

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1932246493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 WHITTLE SPRINGS RD",
            "address_2": "SUITE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379171513",
            "telephone_number": "865-688-0661",
            "fax_number": "865-688-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 WHITTLE SPRINGS RD",
            "address_2": "SUITE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379171513",
            "telephone_number": "865-688-0661",
            "fax_number": "865-688-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAMBACH",
        "first_name": "STACY",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "4704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.