JONATHAN MCCOLLUM LCSW NPI 1003002734
Social Worker (Clinical) in Maryville, TN
About JONATHAN MCCOLLUM
Jonathan Mccollum is a provider established in Maryville, Tennessee and his medical specialization is social worker (clinical) with more than 10 years of experience. The NPI number of Jonathan Mccollum is 1003002734 and was assigned on September 2007. The practitioner's primary taxonomy code is 1041C0700X with license number 6020 (TN). The provider is registered as an individual and his NPI record was last updated 7 years ago.
A clinical social worker like Jonathan Mccollum Lcsw is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Jonathan Mccollum is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME)
Jonathan Mccollum is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
| NPI | 1003002734 |
| Provider Name | JONATHAN MCCOLLUM LCSW |
| Provider Location Address | 210 SIMMONS ST MARYVILLE, TN 37801 |
| Provider Mailing Address | 1451 DOWELL SPRINGS BLVD KNOXVILLE, TN 37909 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2011 |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 09-17-2007 |
| Last Update Date | 06-11-2014 |
Primary Taxonomy
| Taxonomy Code | 1041C0700X |
| Classification | Social Worker |
| Type | Behavioral Health & Social Service Providers |
| Specialization | Clinical |
| License No. | 6020 |
| License State | TN |
| Taxonomy Description | 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. |
Business Address
JONATHAN MCCOLLUM LCSW
210 SIMMONS ST
MARYVILLE, TN
ZIP 37801
Phone: (865) 970-9800
Fax: (865) 374-7129
Mailing Address
JONATHAN MCCOLLUM LCSW
1451 DOWELL SPRINGS BLVD
KNOXVILLE, TN
ZIP 37909
Phone: (865) 374-7123
Fax: (865) 374-7129
Medicare Participation
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | No | |||
Taxonomy Description: a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. | |||||||
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1013049774 | CHERMERA Y SMITH Individual | Counselor (Mental Health) | 210 SIMMONS ST MARYVILLE, TN 37801 (865) 374-7100 |
| 1043342785 | CHRISTY M MONROE Individual | Licensed Practical Nurse | 210 SIMMONS ST MARYVILLE, TN 37801 (865) 374-7100 |
| 1144415381 | JESSICA S OFFERMANN Individual | Counselor (Mental Health) | 210 SIMMONS ST MARYVILLE, TN 37801 (865) 374-7100 |
| 1245362904 | CHARLES D O'NEIL Individual | Counselor (Mental Health) | 210 SIMMONS ST MARYVILLE, TN 37801 (865) 374-7100 |
| 1245427814 | MICHAEL S REED Individual | Counselor (Mental Health) | 210 SIMMONS ST MARYVILLE, TN 37801 (865) 374-7100 |
| 1255309381 | JOY E MURPHEY LCSW Individual | Social Worker (Clinical) | 210 SIMMONS ST MARYVILLE, TN 37801 (865) 970-9800 |
| 1407973332 | RUTLEDGE JAMES Individual | Counselor (Mental Health) | 210 SIMMONS ST MARYVILLE, TN 37801 (865) 374-7100 |
| 1407975626 | VANESSA L MELTON Individual | Licensed Practical Nurse | 210 SIMMONS ST MARYVILLE, TN 37801 (865) 374-7100 |
| 1609908342 | NANCY A HOBBS Individual | Counselor (Mental Health) | 210 SIMMONS ST MARYVILLE, TN 37801 (865) 374-7100 |
| 1619009347 | LINDSEY M NEUBAUER Individual | Counselor (Mental Health) | 210 SIMMONS ST MARYVILLE, TN 37801 (865) 374-7100 |
| 1619092053 | COURTNEY L HAMILTON Individual | Counselor (Mental Health) | 210 SIMMONS ST MARYVILLE, TN 37801 (865) 374-7100 |
| 1699960831 | JASON M JANNETT Individual | Counselor (Mental Health) | 210 SIMMONS ST MARYVILLE, TN 37801 (865) 374-7100 |
| 1700058039 | JASON M SHOTTS Individual | Counselor (Mental Health) | 210 SIMMONS ST MARYVILLE, TN 37801 (865) 374-7100 |
| 1720284896 | LORI BROOKS Individual | Social Worker (Clinical) | 210 SIMMONS ST MARYVILLE, TN 37801 (865) 374-7100 |
| 1760687164 | SHARON HICKS Individual | Licensed Practical Nurse | 210 SIMMONS ST MARYVILLE, TN 37801 (865) 374-7100 |
| 1790968030 | KRISTIN E IGIELSKI Individual | Counselor (Mental Health) | 210 SIMMONS ST MARYVILLE, TN 37801 (865) 374-7100 |
| 1811029564 | LOIS K LINSNER Individual | Counselor (Mental Health) | 210 SIMMONS ST MARYVILLE, TN 37801 (865) 374-7100 |
| 1891827564 | BETTY G WILLOCKS Individual | Registered Nurse (Psychiatric/Mental Health) | 210 SIMMONS ST MARYVILLE, TN 37801 (865) 374-7100 |
| 1922292895 | ANGELA R FORD Individual | Licensed Practical Nurse | 210 SIMMONS ST MARYVILLE, TN 37801 (865) 374-7100 |
| 1972620771 | RANDI J EARLEY Individual | Counselor (Mental Health) | 210 SIMMONS ST MARYVILLE, TN 37801 (865) 374-7100 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.