Johnson, Tamara Sharon

Johnson, Tamara Sharon is an sole proprietor health care provider with primary practice located at 200 Prosperity Dr Ste 206 , Knoxville TN 37923-4718. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Johnson, Tamara Sharon can be contacted via phone (865) 317-4244.

Contact Information

Primary practice address
200 Prosperity Dr Ste 206 Knoxville TN 37923-4718
Phone: (865) 317-4244
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6935 Tennessee

Profile Details

NPI number 1396860086
LBN Legal business name Johnson, Tamara Sharon
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2007
Last updated Aug 9th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396860086 NPPES
Tennessee MEDICAID Q047098

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