Mrs Michelle Dianne Portman, LCSW | |
111 Center Park Dr, Ste 1300, Knoxville, TN 37922-2124 | |
(865) 556-0593 | |
Not Available |
Full Name | Mrs Michelle Dianne Portman |
---|---|
Gender | Female |
Speciality | Social Worker |
Location | 111 Center Park Dr, 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 |
---|---|---|---|
1366585804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0000003889 (Tennessee) | Secondary |
104100000X | Social Worker | 0000003889 (Tennessee) | Primary |
Entity Name | Chota Community Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518912955 PECOS PAC ID: 9436130135 Enrollment ID: O20040527001293 |
Mailing Address | Practice Location Address |
---|---|
Mrs Michelle Dianne Portman, LCSW 111 Center Park Dr, Ste 1300, Knoxville, TN 37922-2124 Ph: (865) 555-0593 | Mrs Michelle Dianne Portman, LCSW 111 Center Park Dr, Ste 1300, Knoxville, TN 37922-2124 Ph: (865) 556-0593 |
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 |