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JESSICA DOUGLAS LCSW
NPI 1780545129
Social Worker - Clinical in Knoxville, TN

Active since November 24, 2025PECOS EnrolledAccepts Medicare Assignment
202 AULTMAN RD, KNOXVILLE, TN 37920(423) 494-7853 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Douglas Lcsw NPPES

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

JESSICA DOUGLAS LCSW (NPI 1780545129) is an individual clinical provider in Knoxville, Tennessee, licensed in Tennessee (10097) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2022).

NPPES Registry Identity

NPI1780545129
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA DOUGLASCredential: LCSW
Location Address202 AULTMAN RDKnoxville, TN 37920-3557
Mailing Address202 Aultman RdKnoxville, TN 37920-3557
Phone(423) 494-7853
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2022
Enumeration DateNovember 24, 2025
Last NPPES UpdateFebruary 18, 2026
NPPES CertifiedFebruary 18, 2026
✔ NPI 1780545129 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 · 10097
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.
202 AULTMAN RD, Knoxville, TN 37920
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Douglas Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264926468
PECOS Enrollment IDI20251215003883
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37920 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.64 – $160.89
Typical copayment $0.00 (range $13.16 – $40.22)
Most-billed visit code NA
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jessica Douglas's NPI number?

The NPI number for Jessica Douglas is 1780545129. It was assigned to this individual provider in the NPPES registry on November 24, 2025.

Where is Jessica Douglas located?

Jessica Douglas practices at 202 Aultman Rd, Knoxville, TN 37920. The listed phone number is (423) 494-7853.

What is Jessica Douglas's specialty?

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

Is Jessica Douglas enrolled in Medicare?

Yes. Jessica Douglas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jessica Douglas was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.