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NPI Code Detail

MEDICARE: JANIECE REN'EE-LEMASTER FOUST LCSW

MEDICARE: JANIECE REN'EE-LEMASTER FOUST LCSW
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 Worker4532TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457350829
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANIECE REN'EE-LEMASTER FOUST LCSW
Provider Business Mailing Address
First Line : 1400 CENTERPOINT BLVD
Second Line : BLDG. A, SUITE 158
City : KNOXVILLE
State : TN
Zip : 37932-1979
Country : US
Telephone Number : 865-374-5806
Fax Number : 865-374-9004
Provider Business Practice Location Address
First Line : 1451 DOWELL SPRINGS BLVD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37909-2441
Country : US
Telephone Number : 865-970-9800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 12/01/2016

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