| Kim Marie Sprague, LCSW | |
|
100 Adams Ln, Oak Ridge, TN 37830-4909 | |
| (865) 483-7743 | |
| (865) 481-8993 |
| Full Name | Kim Marie Sprague |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 100 Adams Ln, Oak Ridge, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336773092 | NPI | - | NPPES |
| Q056089 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7169 (Tennessee) | Primary |
| Entity Name | Helen Ross Mcnabb Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659330686 PECOS PAC ID: 1658278809 Enrollment ID: O20031216000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Marie Sprague, LCSW 200 Tech Center Dr, Knoxville, TN 37912-2747 Ph: (658) 637-9711 | Kim Marie Sprague, LCSW 100 Adams Ln, Oak Ridge, TN 37830-4909 Ph: (865) 483-7743 |
Mrs. Crystal Brock Mullins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: The Sanctuary, 300 Tyler Road, Suite 203, Oak Ridge, TN 37830 Phone: 865-245-2333 | |
Sharon B. Reed, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 240 W Tyrone Rd, Oak Ridge, TN 37830 Phone: 865-482-1076 Fax: 865-481-6179 | |
Joseph Ashley Peery, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 240 W Tyrone Rd, Oak Ridge, TN 37830 Phone: 865-482-1076 Fax: 865-481-6179 | |
Katy Hummel, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 240 W Tyrone Rd, Oak Ridge, TN 37830 Phone: 865-482-1076 | |
Shannon O'donnell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Olmstead Ln, Oak Ridge, TN 37830 Phone: 502-836-5083 | |
Mrs. Amy Auten Olson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 240 W Tyrone Rd, Oak Ridge, TN 37830 Phone: 865-481-6170 Fax: 865-483-6697 | |
Megan Hemmann, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 240 W Tyrone Rd, Oak Ridge, TN 37830 Phone: 865-482-1076 |