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EAGLES PASSAGE THERAPEUTIC FARM, LLC
NPI 1427200757
Social Worker - Clinical in New Market, TN

Active since October 17, 2008
2605 RIDDLE RD, NEW MARKET, TN 37820(865) 932-3331(865) 932-3331 Get Directions Write a Review

NPPES record last updated: December 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eagles Passage Therapeutic Farm, Llc NPPES

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

EAGLES PASSAGE THERAPEUTIC FARM, LLC (NPI 1427200757) is a healthcare organization registered as a clinical in New Market, Tennessee and active in the NPI registry since October 2008. The organization lists Lisa Lynn Frady, Member/clinical Director, as its authorized official.

NPPES Registry Identity

NPI1427200757
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameEAGLES PASSAGE THERAPEUTIC FARM, LLC
Location Address2605 RIDDLE RDNew Market, TN 37820-4835
Mailing Address2605 Riddle RdNew Market, TN 37820-4835 · (865) 932-3331 · Fax (865) 932-3331
Phone(865) 932-3331
Fax(865) 932-3331
Organization SubpartNo
Authorized OfficialLisa Lynn FradyMember/clinical Director · (865) 932-3331
Enumeration DateOctober 17, 2008
Last NPPES UpdateDecember 9, 2010
✔ NPI 1427200757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TN · LSW0000004526
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.
2605 RIDDLE RD, New Market, TN 37820
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Other Identifiers 6

Other5389124TN · Aetna
Other4208400TN · Bcbst
Other2088872TN · Cigna
Other263470730TN · Humana-military
Medicare PIN39278701TN
Other264470000TN · Magellan

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

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 Eagles Passage Therapeutic Farm, LLC's NPI number?

The NPI number for Eagles Passage Therapeutic Farm, LLC is 1427200757. It was assigned to this organization in the NPPES registry on October 17, 2008.

Where is Eagles Passage Therapeutic Farm, LLC located?

Eagles Passage Therapeutic Farm, LLC is located at 2605 Riddle Rd, New Market, TN 37820. The listed phone number is (865) 932-3331.

What is Eagles Passage Therapeutic Farm, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Eagles Passage Therapeutic Farm, LLC was last updated on December 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.