Organization Active NPI

Camille Heatherly Williamson LCSW, LLC

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1972232866
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CAMILLE HEATHERLY WILLIAMSON LCSW, LLC
Practice address
301 S Gallaher View Rd Ste 224
Knoxville, TN 37919-5361
Phone
(865) 898-1574
NPI assigned
Jun 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Camille Heatherly Williamson, LCSW
Title
Owner
Phone
(865) 898-1574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

301 S Gallaher View Rd Ste 224
Knoxville, TN 37919-5361

Mailing address

301 S Gallaher View Rd Ste 224
Knoxville, TN 37919-5361
Phone (865) 898-1574

Other identifiers 1

IdentifierTypeStateIssuer
SW-988OtherTNLICENSE

National Provider Directory

National Provider Directory

Locations

301 S Gallaher View Rd
Ste 224
Knoxville, TN 37919
Phone (865) 690-0962

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1972232866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S GALLAHER VIEW RD STE 224",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195361",
            "telephone_number": "865-898-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S GALLAHER VIEW RD STE 224",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195361",
            "telephone_number": "865-898-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMILLE HEATHERLY WILLIAMSON LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "HEATHERLY WILLIAMSON",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-898-1574",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "SW-988",
            "state": "TN"
        }
    ],
    "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 Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.