MRS. ELIZABETH JEAN TULLOCK (NPI# 1881640712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881640712 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH JEAN TULLOCK |
| Credential | LCSW |
| Practice Address |
6055 Shallowford Rd Chattanooga TN 37421 |
| Mailing Address |
201 W Springdale Ave Knoxville TN 37917-5158 |
| Practice Telephone | 4232666751 |
| Practice Fax Number | 4237634662 |
| Mailing Telephone | 8653299124 |
| Mailing Fax Number | 8655416942 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2018-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1213 | TN | Behavioral Health & Social Service Providers |
| Street Address |
6055 SHALLOWFORD RD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131195 | Asia Danielle Burks | Case Manager/Care Coordinator | 6055 Shallowford Rd, Chattanooga, TN 37421-1688 | 2020-10-13 |
| 1841806965 | Alexis Dawn Chadwick | Social Worker | 6055 Shallowford Rd, Chattanooga, TN 37421-1688 | 2020-09-23 |
| 1477164630 | Nawal Habib | Student in an Organized Health Care Education/Training Program | 6055 Shallowford Rd, Chattanooga, TN 37421-1688 | 2020-08-12 |
| 1528679792 | Kevin Scott Khye | Counselor | 6055 Shallowford Rd, Chattanooga, TN 37421-1688 | 2020-08-12 |
| 1275144438 | Emily Catherine Franks | Student in an Organized Health Care Education/Training Program | 6055 Shallowford Rd, Chattanooga, TN 37421-1688 | 2020-08-12 |
| 1811508088 | Sarah Beth Moore | Student in an Organized Health Care Education/Training Program | 6055 Shallowford Rd, Chattanooga, TN 37421-1688 | 2020-08-12 |
| 1003426941 | Joanna Dena Swanson | Registered Nurse | 6055 Shallowford Rd, Chattanooga, TN 37421-1688 | 2020-08-05 |
| 1407480858 | Lindsey Ann Morris | Case Manager/Care Coordinator | 6055 Shallowford Rd, Chattanooga, TN 37421-1688 | 2020-02-25 |
| 1063044816 | Jessica Marie Bradford Clark | Counselor | 6055 Shallowford Rd, Chattanooga, TN 37421-1688 | 2020-02-10 |
| 1235761081 | Shauntia De'asia Garner | Social Worker | 6055 Shallowford Rd, Chattanooga, TN 37421-1688 | 2020-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878059 | Natasha A Anderson | Social Worker | 711 Signal Mountain Rd., 241, Chattanooga, TN 37405 | 2020-10-16 |
| 1811520620 | Winzetta Jenkins | Social Worker | 5705 Uptain Rd., Chattanooga, TN 37411 | 2020-02-20 |
| 1881156651 | Valerie L Radu | Social Worker | 5800 Uptain Road, Suite 1200, Chattanooga, TN 37411 | 2019-04-02 |
| 1699247700 | Einre Anne Imperio Lopez Friedrich | Social Worker | 957 Boynton Dr, Chattanooga, TN 37402-2118 | 2018-12-31 |
| 1437620697 | Erricka O Hill | Social Worker | 358 Glenwood Dr, Chattanooga, TN 37404-1725 | 2018-12-16 |
| 1770059768 | Holly Wade Lcsw LLC | Social Worker | 2201 Dayton Blvd, Chattanooga, TN 37415-6415 | 2018-10-17 |
| 1982110490 | Margaret Chase Durham | Social Worker | 8105 Gatehouse Xing, Chattanooga, TN 37421-3273 | 2017-12-19 |
| 1619414166 | Jacquelyn Ann Casey | Social Worker | 201 Frazier Avenue, Suite E, Chattanooga, TN 37405 | 2017-01-23 |
| 1467994970 | Latoya Mcleod | Social Worker | 4704 Kenwood Ave, Chattanooga, TN 37411-3805 | 2016-11-15 |
| 1902274129 | Frank Adam Kilgore | Social Worker | 3000 3rd Ave Ste 300, Chattanooga, TN 37407-1422 | 2015-09-03 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.