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

Jonathan McCollum, LCSW

Individual provider Counselor · NPI 1003002734

Jonathan McCollum, LCSW is a Clinical Social Worker in Maryville, Tennessee. Qualified in 2011, 15 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
15
Licensed in
TN
In the registry since
2007
Specialties on file
2
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

210 Simmons St
Maryville, TN 37801-4750
Phone: (865) 970-9800
Fax: (865) 374-7129
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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 6020 (TN)
Counselor Taxonomy 101Y00000X

Record details

NPI number1003002734
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 17, 2007
Last updated in NPPESJune 11, 2014
Mailing address1451 Dowell Springs Blvd, Knoxville, TN 37909-2441

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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