RIVENDELL CENTER LLC
NPI 1720097975
Social Worker - Clinical in Maryville, TN

Active since August 05, 2006
216 FAIRVIEW DR, MARYVILLE, TN 37803(865) 681-4914(865) 977-9573 Get Directions Write a Review

NPPES record last updated: October 4, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rivendell Center Llc NPPES

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

RIVENDELL CENTER LLC (NPI 1720097975) is a healthcare organization registered as a clinical in Maryville, Tennessee and active in the NPI registry since August 2006. The organization lists Patricia L Gallagher, Owner Manager, as its authorized official.

NPPES Registry Identity

NPI1720097975
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameRIVENDELL CENTER LLC
Location Address216 FAIRVIEW DRMaryville, TN 37803-0537
Mailing Address120 Wilson AveMaryville, TN 37803-6051 · (865) 681-4914 · Fax (865) 977-9573
Fax(865) 977-9573
Organization SubpartNo
Authorized OfficialPatricia L GallagherOwner Manager · (865) 681-4914
Enumeration DateAugust 5, 2006
Last NPPES UpdateOctober 4, 2007
NPI 1720097975 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 · LSW0000003963
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.
216 FAIRVIEW DR, Maryville, TN 37803

Other Identifiers 2

Medicaid3922162TN
Medicare PIN3922162TN

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
216 FAIRVIEW DR
MARYVILLE, TN 37803
Social Worker (Clinical)
216 FAIRVIEW DR
MARYVILLE, TN 37803

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 Rivendell Center LLC's NPI number?

The NPI number for Rivendell Center LLC is 1720097975. It was assigned to this organization in the NPPES registry on August 5, 2006.

Where is Rivendell Center LLC located?

Rivendell Center LLC is located at 216 Fairview Dr, Maryville, TN 37803. The listed phone number is (865) 681-4914.

What is Rivendell Center 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 Rivendell Center LLC was last updated on October 4, 2007. 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.