Mr Michael E Wentworth, LCSW | |
2900 Tazewell Pike Ste G, Knoxville, TN 37918-1880 | |
(207) 478-4774 | |
Not Available |
Full Name | Mr Michael E Wentworth |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 2900 Tazewell Pike Ste G, Knoxville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659607323 | NPI | - | NPPES |
Q012079 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LC10696 (Maine) | Primary |
Entity Name | Parkwest Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396739165 PECOS PAC ID: 8527965417 Enrollment ID: O20040429000423 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael E Wentworth, LCSW 2900 Tazewell Pike Ste G, Knoxville, TN 37918-1880 Ph: (207) 478-4774 | Mr Michael E Wentworth, LCSW 2900 Tazewell Pike Ste G, Knoxville, TN 37918-1880 Ph: (207) 478-4774 |
Emma Eidson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 Arthur St, Knoxville, TN 37921 Phone: 865-532-8695 | |
Josh Wilson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 305 Westfield Rd, Knoxville, TN 37919 Phone: 865-409-5001 | |
Hailey Schorsch, MS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6216 Lonas Dr, Knoxville, TN 37909 Phone: 865-951-1029 | |
Carla L Jackson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5645 Merchants Center Blvd, Knoxville, TN 37912 Phone: 865-257-9982 | |
Riann Joan-garbett Proctor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 525 Stone Pony Ln, Knoxville, TN 37919 Phone: 319-270-7775 | |
Mr. Gerald Leonard Fried, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6231 Highland Place Way Ste 101, Knoxville, TN 37919 Phone: 865-264-2400 Fax: 865-588-6406 | |
Anna M Krichinsky, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4639 Newcom Ave, Knoxville, TN 37919 Phone: 865-588-9766 Fax: 865-588-1476 |