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NPI Code Detail

MEDICARE: CHILD AND FAMILY TENNESSEE

MEDICARE: CHILD AND FAMILY TENNESSEE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerL 2140661393TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12007768OTHERTNBLUE CROSS

General Provider Information

NPI Number : 1134226343
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILD AND FAMILY TENNESSEE
Provider Business Mailing Address
First Line : 901 E SUMMIT HILL DR
Second Line :
City : KNOXVILLE
State : TN
Zip : 37915-1200
Country : US
Telephone Number : 865-524-7483
Fax Number : 865-521-4206
Provider Business Practice Location Address
First Line : 901 E SUMMIT HILL DR
Second Line :
City : KNOXVILLE
State : TN
Zip : 37915-1200
Country : US
Telephone Number : 865-524-7483
Fax Number : 865-521-4206
Authorized Official
Title or Position : CEO
Name : MS. KATHRYN R O'DAY
Credential :
Telephone Number : 865-524-7483
Provider Enumeration Date : 09/20/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1194824763 — SUZANNE RIEPE LCSW
Practice Location Address:
901 E SUMMIT HILL DR
KNOXVILLE, TN
37915-1200
Practice Phone: 865-524-7483
Practice Fax: 865-521-4206
1952400723 — MR. SIMON ALAN RUDOLPH LCSW
Practice Location Address:
901 E SUMMIT HILL DR
KNOXVILLE, TN
37915-1200
Practice Phone: 865-524-7483
Practice Fax:
1457598294 — MR. THOMAS ANTHONY CHILTON LPC/MHSP
Practice Location Address:
901 E SUMMIT HILL DR
KNOXVILLE, TN
37915-1200
Practice Phone: 865-524-7483
Practice Fax: 865-521-4206
1285204586 — RAVEN RHIANNA HARP AS
Practice Location Address:
901 E SUMMIT HILL DR
KNOXVILLE, TN
37915-1200
Practice Phone: 865-637-8000
Practice Fax:
1942978275 — HANNAH MARIE SMITH
Practice Location Address:
901 E SUMMIT HILL DR
KNOXVILLE, TN
37915-1200
Practice Phone: 865-637-9711
Practice Fax:
1831873124 — LINSEY NICOLE HEARN CTRS
Practice Location Address:
6516 VESTINE DR
KNOXVILLE, TN
37918-1200
Practice Phone: 770-652-4003
Practice Fax:

Directions to “CHILD AND FAMILY TENNESSEE ” Practice Location

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