1. Home
  2. Directory
  3. Tennessee
  4. Kodak
  5. Social Worker
  6. NPI Profile

EMOTIONAL AND BEHAVIORAL THERAPY
NPI 1174107965
Social Worker - Clinical in Kodak, TN

Active since May 08, 2021
915 EAGLE VIEW DR, KODAK, TN 37764(865) 280-2123(561) 634-2874 Get Directions Write a Review

NPPES record last updated: May 8, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Emotional And Behavioral Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMOTIONAL AND BEHAVIORAL THERAPY (NPI 1174107965) is a healthcare organization registered as a clinical in Kodak, Tennessee and active in the NPI registry since May 2021. The organization lists Claudia Hirsemann, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1174107965
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameEMOTIONAL AND BEHAVIORAL THERAPY
Location Address915 EAGLE VIEW DRKodak, TN 37764-2418
Mailing Address915 Eagle View DrKodak, TN 37764-2418 · (865) 280-2123 · Fax (561) 634-2874
Phone(865) 280-2123
Fax(561) 634-2874
Organization SubpartNo
Authorized OfficialClaudia HirsemannOwner/operator · (865) 280-2123
Enumeration DateMay 8, 2021
NPPES CertifiedMay 8, 2021
✔ NPI 1174107965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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.
915 EAGLE VIEW DR, Kodak, TN 37764
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emotional And Behavioral Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Emotional And Behavioral Therapy, which bills Medicare for the services this clinician delivers.

Clinician (1)

Claudia Hirsemann, LCSW
Clinical Social Worker
NPI 1356610919
915 EAGLE VIEW DR
Kodak, TN 37764
(561) 789-5577
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emotional And Behavioral Therapy's NPI number?

The NPI number for Emotional And Behavioral Therapy is 1174107965. It was assigned to this organization in the NPPES registry on May 8, 2021.

Where is Emotional And Behavioral Therapy located?

Emotional And Behavioral Therapy is located at 915 Eagle View Dr, Kodak, TN 37764. The listed phone number is (865) 280-2123.

What is Emotional And Behavioral Therapy's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Emotional And Behavioral Therapy enrolled in Medicare?

Yes. Emotional And Behavioral Therapy is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Emotional And Behavioral Therapy?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Emotional And Behavioral Therapy. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Emotional And Behavioral Therapy was last updated on May 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.