| Kimberly Long, LCSW | |
|
10415 Hickory Path Way Ste 101, Knoxville, TN 37922-0701 | |
| (865) 671-1274 | |
| (865) 675-2003 |
| Full Name | Kimberly Long |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 10415 Hickory Path Way Ste 101, 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 |
|---|---|---|---|
| 1063033348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8887 (Tennessee) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7601 (Tennessee) | Primary |
| Entity Name | Knoxville Center For Behavioral Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710640776 PECOS PAC ID: 0244624195 Enrollment ID: O20230608000113 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Long, LCSW 9702 Grove Lake Way Unit 106, Knoxville, TN 37922-5199 Ph: (865) 924-7249 | Kimberly Long, LCSW 10415 Hickory Path Way Ste 101, Knoxville, TN 37922-0701 Ph: (865) 671-1274 |
Hilary S Haverkamp, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1415 Old Weisgarber Rd Ste 360, Knoxville, TN 37909 Phone: 865-588-3173 | |
Emma Eidson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 600 Arthur St, Knoxville, TN 37921 Phone: 865-532-8695 | |
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: 2911 Essary Dr Ste 200, Knoxville, TN 37918 Phone: 865-371-8101 | |
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 | |
Holly Holmes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 118 Mabry Hood Rd, Knoxville, TN 37922 Phone: 865-982-5225 | |
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 |