Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Lynn Baddorf, LCSW

Individual provider Clinical Social Worker · NPI 1679927388

Jessica Lynn Baddorf, LCSW is a Clinical Social Worker in Knoxville, Tennessee. Qualified in 2015, 11 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York and Tennessee.

Years since qualifying
11
Licensed in
NY, TN
In the registry since
2016
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

9047 Executive Park Dr Ste 210
Knoxville, TN 37923-4625
Phone: (865) 983-1899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 7140 (TN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 095721 (NY)
Social Worker Taxonomy 104100000X · Licence LSW11575 (TN)

Record details

NPI number1679927388
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 19, 2016
Last updated in NPPESOctober 12, 2024
Certification dateOctober 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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