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

Meredith McCook Prosak, LCSW

Individual provider Clinical Social Worker · NPI 1932861671

Meredith McCook Prosak, LCSW is a Clinical Social Worker in Johnson City, Tennessee. Qualified in 2016, 10 years ago. Practices with East Tennessee State University, a 20-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
10
Licensed in
TN
In the registry since
2021
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

202 W Fairview Ave
Johnson City, TN 37604-5611
Phone: (423) 439-7371
Fax: (423) 232-0420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 7798 (TN)

Record details

NPI number1932861671
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 11, 2021
Last updated in NPPESOctober 11, 2021
Certification dateOctober 11, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice East Tennessee State University — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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