JONATHAN MCCOLLUM LCSW NPI 1003002734
Social Worker - Clinical in Maryville, TN

  • Individual
  • Male
  • Years of Experience 13
  • Social Worker
  • Clinical
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About JONATHAN MCCOLLUM

NPI1003002734
Provider NameJONATHAN MCCOLLUM LCSW
Location Address210 SIMMONS ST MARYVILLE, TN 37801
Location Phone(865) 970-9800
Mailing Address1451 DOWELL SPRINGS BLVD KNOXVILLE, TN 37909
GenderMale
Entity TypeIndividual
Medical School NameOTHER
Graduation Year2011
Is Sole Proprietor?No
Enumeration Date09-17-2007
Last Update Date06-11-2014
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Jonathan Mccollum is a provider established in Maryville, Tennessee and his medical specialization is Social Worker with a focus in clinical with more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1003002734 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 10 years ago.

A clinical social worker like Jonathan Mccollum 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 registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Business Address

210 SIMMONS ST
MARYVILLE, TN
ZIP 37801
Phone: (865) 970-9800
Fax: (865) 374-7129

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Mailing Address

1451 DOWELL SPRINGS BLVD
KNOXVILLE, TN
ZIP 37909
Phone: (865) 374-7123
Fax: (865) 374-7129

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code1041C0700X
TypeBehavioral Health & Social Service Providers
License No.6020
License StateTN
Taxonomy DescriptionA 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

 

PECOS Enrollment and Medicare Participation Status

Jonathan Mccollum is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9234354077

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20140710001338

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003002734
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200300476
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 4 + 7 + 6 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1003002734 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255309381 JOY E MURPHEY LCSW
Individual
Social Worker (Clinical)210 SIMMONS ST
MARYVILLE, TN 37801
(865) 970-9800
1619009347 LINDSEY M NEUBAUER
Individual
Counselor (Mental Health)210 SIMMONS ST
MARYVILLE, TN 37801
(865) 374-7100
1013049774 CHERMERA Y SMITH
Individual
Counselor (Mental Health)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
1043342785 CHRISTY M MONROE
Individual
Licensed Practical Nurse210 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
1245362904 CHARLES D O'NEIL
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
1619092053 COURTNEY L HAMILTON
Individual
Counselor (Mental Health)210 SIMMONS ST
MARYVILLE, TN 37801
(865) 374-7100
1407973332 RUTLEDGE JAMES
Individual
Counselor (Mental Health)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
1407975626 VANESSA L MELTON
Individual
Licensed Practical Nurse210 SIMMONS ST
MARYVILLE, TN 37801
(865) 374-7100
1760687164 SHARON HICKS
Individual
Licensed Practical Nurse210 SIMMONS ST
MARYVILLE, TN 37801
(865) 374-7100
1720284896 LORI BROOKS
Individual
Social Worker (Clinical)210 SIMMONS ST
MARYVILLE, TN 37801
(865) 374-7100
1922292895 ANGELA R FORD
Individual
Licensed Practical Nurse210 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
1699960831 JASON M JANNETT
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
1790968030 KRISTIN E IGIELSKI
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

Frequently Asked Questions

What is Jonathan Mccollum LCSW NPI number?

The NPI number assigned to this healthcare provider is 1003002734, enumerated in the NPI registry as an "individual" on September 17, 2007

Where is the provider located?

The provider is located at 210 Simmons St Maryville, Tn 37801 and the phone number is (865) 970-9800

What is the provider specialty code?

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

How many years of experience does Jonathan Mccollum LCSW have?

The provider has more than 13 years of experience.

Is Jonathan Mccollum LCSW registered in PECOS?

Yes, as of December 01, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

How do I update my NPI information?

This NPI record was last updated on September 17, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.