Karissa Hyrchuk, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7625 Issued in TN

Practice address

1360 Mackey Branch Dr
Chattanooga, TN 37421-3225

Phone

(423) 443-3336

Fax

(423) 464-7510

NPI assigned

Jan 17, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 22, 2025 through Apr 22, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Agape Youth Behavioral Health

  • Child & Adolescent Psychiatry Physician
  • Chattanooga, TN
  • NPI 1528405925
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1023723855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 S SAINT MARKS AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374114859",
            "telephone_number": "423-505-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 MACKEY BRANCH DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213225",
            "telephone_number": "423-443-3336",
            "fax_number": "423-464-7510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Cameron Hill Cir",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374029815",
            "country_code": "US",
            "telephone_number": "423-535-7008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYRCHUK",
        "first_name": "KARISSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Lynn Hutton, CDA
• Rose Ann Hutton
• Ngoc-Lan Huynh, DDS
• Glendon Alan Hyde, MD
• Jensen Hart Hyde, MD
• I Am Tiara Mitchell
• Ahmed A Ibrahim, M.D.
• Simon Effat Ibrahim, PTA
• Id Group, PLLC
• Corey David Idrogo, D.C.

• Clinical Social Worker in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.