| 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 |
|---|---|
| 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 |
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 |