MEDICARE: MRS. MARGARET WETH 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
1	1041C0700X	Clinical Social Worker	4815	TN
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1538243217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARGARET WETH LCSW

Provider Business Mailing Address
First Line	:	224 S PETERS RD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37923-5207
Country	:	US
Telephone Number	:	865-919-2651
Fax Number	:	865-238-5909

Provider Business Practice Location Address
First Line	:	224 S PETERS RD
Second Line	:	SUITE 200
City	:	KNOXVILLE
State	:	TN
Zip	:	37923-5207
Country	:	US
Telephone Number	:	865-238-5901
Fax Number	:	865-238-5909

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	05/15/2009

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