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TAMMY R. MOODY LCSW
NPI 1528132016
Social Worker - Clinical in Johnson City, TN

Active since November 17, 2006Opted out of Medicare · through Jan 1, 2027
332 E SPRINGBROOK DR, SUITE 500, JOHNSON CITY, TN 37601(423) 282-1394(423) 282-1394 Get Directions Write a Review

NPPES record last updated: May 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tammy R. Moody Lcsw NPPES

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

TAMMY R. MOODY LCSW (NPI 1528132016) is an individual clinical provider in Johnson City, Tennessee, licensed in Tennessee (LSW 876) and active in the NPI registry since November 2006. She has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1528132016
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTAMMY R. MOODYCredential: LCSW
Location Address332 E SPRINGBROOK DR, SUITE 500Johnson City, TN 37601-1767
Mailing Address332 E Springbrook Dr, Suite 500Johnson City, TN 37601-1767 · (423) 282-1394 · Fax (423) 282-1394
Phone(423) 282-1394
Fax(423) 282-1394
Sole ProprietorYes
Enumeration DateNovember 17, 2006
Last NPPES UpdateMay 10, 2008
✔ NPI 1528132016 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 · LSW 876
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.
332 E SPRINGBROOK DR, Johnson City, TN 37601
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Other Identifiers 3

Other4094498TN · Blue Cross Blue Shield
Medicare ID-Type Unspecified3927687TN
Medicaid3927687TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tammy R. Moody Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2023 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2023
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Tammy Moody's NPI number?

The NPI number for Tammy Moody is 1528132016. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Tammy Moody located?

Tammy Moody practices at 332 E Springbrook Dr Suite 500, Johnson City, TN 37601. The listed phone number is (423) 282-1394.

What is Tammy Moody's specialty?

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

Is Tammy Moody enrolled in Medicare?

No. Tammy Moody has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Tammy Moody was last updated on May 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.