Provider Demographics
NPI:1871456848
Name:AUSMUS, BARRY (MSW)
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:
Last Name:AUSMUS
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 GLENLEIGH CT STE 101
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-3081
Mailing Address - Country:US
Mailing Address - Phone:865-509-9349
Mailing Address - Fax:
Practice Address - Street 1:100 GLENLEIGH CT STE 101
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-3081
Practice Address - Country:US
Practice Address - Phone:865-509-9349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-06
Last Update Date:2025-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)