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NPI Code Detail

MEDICARE: AMANDA M GERTH-JONES LCSW

MEDICARE:   AMANDA M GERTH-JONES  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
1104100000XSocial Worker6943TN
2104100000XSocial Worker5193TN

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 : 1205993144
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA M GERTH-JONES LCSW
Provider Business Mailing Address
First Line : 229 LOVELY BLUFF RD
Second Line :
City : ROCKY TOP
State : TN
Zip : 37769
Country : US
Telephone Number : 423-312-2444
Fax Number : 865-481-6171
Provider Business Practice Location Address
First Line : 229 LOVELY BLUFF RD
Second Line :
City : ROCKY TOP
State : TN
Zip : 37769
Country : US
Telephone Number : 423-312-2444
Fax Number : 865-481-6171
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2007
Last Update Date : 03/09/2023

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Directions to “ AMANDA M GERTH-JONES LCSW” Practice Location

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